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Brandie Detar
Massage Therapist in Yorba Linda, California
NPI 1871824466

Brandie Detar is a Massage Therapist based in Yorba Linda, CA. Brandie Detar practices in Yorba Linda, CA. The NPI Number for Brandie Detar is 1871824466 and holds a License No. 1237678 (California).

The current practice location address for Brandie Detar is 18200 Yorba Linda Blvd, Yorba Linda, CA and can be reached out via phone at 714-646-8000 and via fax at 714-572-2562.

Location: 18200 Yorba Linda Blvd, Yorba Linda, CA, 92886-4056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871824466
Provider Name
Brandie Detar
Credential
Provider Entity Type
Individual
Gender
Female
Address
18200 Yorba Linda Blvd, Yorba Linda, CA, 92886-4056
Phone Number
714-646-8000
Fax Number
714-572-2562
Provider Enumeration Date
01/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1237678 01 CA MASSAGE THERAPY ASSOCIATION LICENSE
institution
Provider Business Practice Location Address Details
Address
18200 Yorba Linda Blvd
City
Yorba Linda
State
California
Zip
92886-4056
Phone Number
714-646-8000
Fax Number
714-572-2562
person
Provider Business Mailing Address Details
Address
18200 Yorba Linda Blvd
City
Yorba Linda
State
California
Zip
92886-4056
Phone Number
714-646-8000
Fax Number
714-572-2562
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
1237678 (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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