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MRS. MARY VICTORIA JETMORE-REICHARDT MP
NPI 1548565476
Massage Therapist in Crestline, CA

Active since January 25, 2011
580 FOREST SHADE #4, CRESTLINE, CA 92325(909) 338-6477 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Victoria Jetmore-reichardt Mp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY VICTORIA JETMORE-REICHARDT MP (NPI 1548565476) is an individual massage therapist in Crestline, California, licensed in California (10826) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1548565476
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. MARY VICTORIA JETMORE-REICHARDTCredential: MP
Location Address580 FOREST SHADE #4Crestline, CA 92325
Mailing AddressPo Box 6493, 22652 Waters DriveCrestline, CA 92325-6493 · (916) 201-3908
Phone(909) 338-6477
Sole ProprietorYes
Enumeration DateJanuary 25, 2011
✔ NPI 1548565476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 10826
Definition
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jetmore-reichardt's NPI number?

The NPI number for Mary Jetmore-reichardt is 1548565476. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Mary Jetmore-reichardt located?

Mary Jetmore-reichardt practices at 580 Forest Shade #4, Crestline, CA 92325. The listed phone number is (909) 338-6477.

What is Mary Jetmore-reichardt's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mary Jetmore-reichardt was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.