Individual provider · Type 1 NPI
Vinnette Ann Detloff, MASSAGE THERAPIST
Massage Therapist · Tehachapi, CA
NPI number
1679069629
Active
Practice location
113 S Green St
Tehachapi, CA 93561-1716
Mailing address
1105 Alder Ave
Tehachapi, CA 93561-2475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 74845 (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.
Another provider at this address
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About NPI 1679069629
Vinnette Ann Detloff, MASSAGE THERAPIST's National Provider Identifier is 1679069629, issued on Jul 2, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tehachapi, CA. The record was last updated on Jul 2, 2018.