MEDICARE: WERE LYMPHEDEMA THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1548058274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WERE LYMPHEDEMA THERAPY LLC

Provider Business Mailing Address
First Line	:	652 COYOTE CIR
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-4395
Country	:	US
Telephone Number	:	402-204-5467
Fax Number	:

Provider Business Practice Location Address
First Line	:	9647 GILES RD
Second Line	:
City	:	LA VISTA
State	:	NE
Zip	:	68128-2928
Country	:	US
Telephone Number	:	402-204-5467
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROSEMARY N WERE
Credential	:	OT
Telephone Number	:	402-204-5467

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	08/21/2025

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