Mrs Mary Victoria Jetmore-reichardt, MP - Massage Therapist in Crestline, CA

Mrs Mary Victoria Jetmore-reichardt, MP is a Massage Therapist based in Crestline, California. Mrs Mary Victoria Jetmore-reichardt is licensed to practice in California (license number 10826) and her current practice location is 580 Forest Shade #4, Crestline, California. She can be reached at her office (for appointments etc.) via phone at (909) 338-6477.

NPI number for Mrs Mary Victoria Jetmore-reichardt is 1548565476 and her current mailing address is Po Box 6493, 22652 Waters Drive, Crestline, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548565476.

Contact Information

Mrs Mary Victoria Jetmore-reichardt, MP
580 Forest Shade #4,
Crestline, CA 92325
(909) 338-6477
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Mary Victoria Jetmore-reichardt
GenderFemale
SpecialityMassage Therapist
Location580 Forest Shade #4, Crestline, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548565476
  • Provider Enumeration Date: 01/25/2011
  • Last Update Date: 01/25/2011

Medical Identifiers

Medical identifiers for Mrs Mary Victoria Jetmore-reichardt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548565476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 10826 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Victoria Jetmore-reichardt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary Victoria Jetmore-reichardt, MP
Po Box 6493, 22652 Waters Drive,
Crestline, CA 92325-6493

Ph: (916) 201-3908
Mrs Mary Victoria Jetmore-reichardt, MP
580 Forest Shade #4,
Crestline, CA 92325

Ph: (909) 338-6477

Reviews and Comments


Massage Therapist in Crestline, CA

Jessica Fletcher,
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Phone: 909-654-7502    
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Practice Location: 25268 Ca-18, Crestline, CA 92325
Phone: 909-742-9838    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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