Healthcare Provider Details

I. General information

NPI: 1881504488
Provider Name (Legal Business Name): MELISSA ANNE CHACHERE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8084 W SAHARA AVE STE B
LAS VEGAS NV
89117-1977
US

IV. Provider business mailing address

10151 DORRELL LN UNIT 3033
LAS VEGAS NV
89166-1051
US

V. Phone/Fax

Practice location:
  • Phone: 702-257-7246
  • Fax: 702-586-2071
Mailing address:
  • Phone: 702-502-7254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberNVMT31568
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: