Healthcare Provider Details

I. General information

NPI: 1902737489
Provider Name (Legal Business Name): WB WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4009 6TH AVE STE 19
KEARNEY NE
68845-0377
US

IV. Provider business mailing address

4009 6TH AVE STE 19
KEARNEY NE
68845-0377
US

V. Phone/Fax

Practice location:
  • Phone: 402-206-6724
  • Fax:
Mailing address:
  • Phone: 402-206-6724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: WADE JENSEN
Title or Position: MEMBER/CHIROPRACTOR
Credential: D.C.
Phone: 402-206-6724