Individual
SUSAN JOY TVEIT-VICKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, BTAA
Contact information
Practice address
1613 S DOLLNER ST, VISALIA, CA 93277-4530
(559) 816-4938
Mailing address
734 ELDERWOOD LN, LEMOORE, CA 93245-2177
(559) 924-9007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
BL017632
CA
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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