Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY VICTORIA JETMORE-REICHARDT, MP
Active Sole ProprietorMRS. MARY VICTORIA JETMORE-REICHARDT, MP is a Massage Therapist healthcare provider located in CRESTLINE, California. NPI 1548565476 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CRESTLINE, CA
Registration Details
- NPI Number
- 1548565476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2011 (15.550659383339 yrs)
- Last Updated
- Jan 25, 2011
- License
-
10826 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
580 FOREST SHADE #4CRESTLINE, CA, 92325Browse CA providers · Browse ZIP 92325
- Phone
- 9093386477
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CRESTLINE, CA
| Name | Credential | NPI |
|---|---|---|
| YVONNE MARIE LUNA | CMT | 1639707672 |
| JESSICA FLETCHER | — | 1467115642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.