Most Relevant Information
Provider Data
| NPI Number: | 1003450560 |
| Provider Name: | JEANNE WACHA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 2242 |
Most Important Dates
| Enumeration Date: | 10/28/2019 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
1103 GALVIN RD S STE K
BELLEVUE
NE
680053002
Practice Location Phone/Fax
| Phone: | 4029327318 |
| Fax: |
Provider Mailing Location
3056 S 160TH PLZ
OMAHA
NE
681302007
Provider Mailing Phone/Fax
| Phone: | 4025254021 |
| Fax: |