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Mrs. Mary Victoria Jetmore-reichardt, MP
Massage Therapist in Crestline, California
NPI 1548565476

Mary Victoria Jetmore-reichardt is a Massage Therapist based in Crestline, CA. Mary Victoria Jetmore-reichardt practices in Crestline, CA and has the professional credentials of MP. The NPI Number for Mary Victoria Jetmore-reichardt is 1548565476 and holds a License No. 10826 (California).

The current practice location address for Mary Victoria Jetmore-reichardt is 580 Forest Shade #4, Crestline, CA and can be reached out via phone at 909-338-6477.

Location: 580 Forest Shade #4, Crestline, CA, 92325-6493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548565476
Provider Name
Mary Victoria Jetmore-reichardt
Credential
MP
Provider Entity Type
Individual
Gender
Female
Address
580 Forest Shade #4, Crestline, CA, 92325-6493
Phone Number
909-338-6477
Fax Number
Provider Enumeration Date
01/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
580 Forest Shade #4
City
Crestline
State
California
Zip
92325
Phone Number
909-338-6477
Fax Number
person
Provider Business Mailing Address Details
Address
580 Forest Shade #4
City
Crestline
State
California
Zip
92325
Phone Number
909-338-6477
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
10826 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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