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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XBL017632 (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.