Individual provider · Type 1 NPI
Susan Joy Tveit-Vickstrom, CMT, BTAA
Massage Therapist · Visalia, CA
NPI number
1306435045
Active
Practice location
1613 S Dollner St
Visalia, CA 93277-4530
Mailing address
734 Elderwood Ln
Lemoore, CA 93245-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | BL017632 (CA) |
Massage Therapist: 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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About NPI 1306435045
Susan Joy Tveit-Vickstrom, CMT, BTAA's National Provider Identifier is 1306435045, issued on Jan 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Visalia, CA. The record was last updated on Jan 17, 2021.