Healthcare Provider Details

I. General information

NPI: 1992617252
Provider Name (Legal Business Name): ALEXANDRA L HAGGAR LMT, MLD-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 OLSON DR STE 5
PAPILLION NE
68046-7640
US

IV. Provider business mailing address

2211 S 42ND ST
OMAHA NE
68105-2911
US

V. Phone/Fax

Practice location:
  • Phone: 402-964-2252
  • Fax:
Mailing address:
  • Phone: 763-614-9109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number4280
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: