Wendy Rae Bagneschi, LMT
Individual provider Active NPI Massage Therapist · Chadron, NE
NPI 1104483841 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1104483841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 3589 (NE)
- Practice address
- 151 Bordeaux St # 25
Chadron, NE 69337-2169 - Phone
- (970) 689-0068
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3589 | NE | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3589 | NE | Yes |
Addresses
Primary practice location
151 Bordeaux St # 25
Chadron, NE 69337-2169
Mailing address
1245 Maple St
Chadron, NE 69337-9384
Phone (970) 689-0068
Other names
- Ms. Wendy Rae Vanwey
Other providers in Chadron, NE
- Ann Brost Ma Counseling Agency
- Dorothy Ann Aragon
- Ronald Robert Archuleta Jr.
- Emily M Arterburn
- Dustin Wayne Bagneschi
- Dylan J Bairn
- Chelsea Ballard
- Janessa Mychel Barnes
- Tara Lyn Bates
- Tara Jo Biernacki
All providers in Chadron, NE · Massage Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.