Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Victoria Jetmore-Reichardt, MP

Individual provider Massage Therapist · NPI 1548565476

Mrs. Mary Victoria Jetmore-Reichardt, MP is a Massage Therapist in Crestline, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

580 Forest Shade #4
Crestline, CA 92325
Phone: (909) 338-6477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 10826 (CA)

Record details

NPI number1548565476
Entity typeIndividual (Type 1)
GenderFemale
Credentials MP
Sole proprietorYes
NPI enumeratedJanuary 25, 2011
Last updated in NPPESJanuary 25, 2011

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