Healthcare Provider Details

I. General information

NPI: 1467657874
Provider Name (Legal Business Name): CHEREE DIANE BUESING L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 S 32ND ST
LINCOLN NE
68516-6036
US

IV. Provider business mailing address

2917 N COTNER BLVD
LINCOLN NE
68507-2832
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-5373
  • Fax:
Mailing address:
  • Phone: 402-416-2135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1789
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: