Basic Information
| Provider Information | |||||||||
| NPI: | 1003001926 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEINA | ||||||||
| FirstName: | CRAIG | ||||||||
| MiddleName: | PATRICK | ||||||||
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| Credential: | L.M.T. N.M.T. M.F.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9015 ARBOR ST. | ||||||||
| Address2: | SUITE 118 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681242056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023989500 | ||||||||
| FaxNumber: | 4023439200 | ||||||||
| Practice Location | |||||||||
| Address1: | 9015 ARBOR ST | ||||||||
| Address2: | SUITE 118 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681242056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023989500 | ||||||||
| FaxNumber: | 4023439200 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2007 | ||||||||
| LastUpdateDate: | 09/13/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | 507 | NE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.