Individual
MRS. WENDY RAE BAGNESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
151 BORDEAUX ST # 25, CHADRON, NE 69337-2169
(970) 689-0068
Mailing address
1245 MAPLE ST, CHADRON, NE 69337-9384
(970) 689-0068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3589
NE
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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