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MRS. KENDRA AMIDON LMT
NPI 1487169116
Massage Therapist in La Vista, NE

Active since December 04, 2017
12040 MCDERMOTT PLZ STE 320, LA VISTA, NE 68128(402) 871-8469(402) 597-2869 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2019, Dec 4, 2017 (2 updates tracked since 2017).

About Mrs. Kendra Amidon Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KENDRA AMIDON LMT (NPI 1487169116) is an individual massage therapist in La Vista, Nebraska, licensed in Nebraska (3340) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1487169116
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. KENDRA AMIDONCredential: LMT
Location Address12040 MCDERMOTT PLZ STE 320La Vista, NE 68128-2354
Mailing Address8825 S 117th StLa Vista, NE 68128-5567 · (402) 871-8469 · Fax (402) 597-2869
Phone(402) 871-8469
Fax(402) 597-2869
Sole ProprietorYes
Enumeration DateDecember 4, 2017
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1487169116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NE · 3340
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
12040 MCDERMOTT PLZ STE 320, La Vista, NE 68128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Amidon's NPI number?

The NPI number for Kendra Amidon is 1487169116. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Kendra Amidon located?

Kendra Amidon practices at 12040 Mcdermott Plz Ste 320, La Vista, NE 68128. The listed phone number is (402) 871-8469.

What is Kendra Amidon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kendra Amidon was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.