Individual provider · Type 1 NPI
Viktor Fedotenko, CMT
Massage Therapist · Sacramento, CA
NPI number
1497059844
Active
Practice location
5535 Hemlock St
Sacramento, CA 95841-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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 1497059844
Viktor Fedotenko, CMT's National Provider Identifier is 1497059844, issued on Dec 28, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 28, 2010.