Individual
JEANNE WACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 GALVIN RD S STE K, BELLEVUE, NE 68005-3002
(402) 932-7318
Mailing address
3056 S 160TH PLZ, OMAHA, NE 68130-2007
(402) 525-4021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2242
NE
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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