Active NPI
Susan Joy Tveit-Vickstrom, CMT, BTAA
- Massage Therapist
- Visalia, CA
National Provider Identifier
1306435045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- BL017632
- Practice address
- 1613 S Dollner St
Visalia, CA 93277-4530 - Phone
- (559) 816-4938
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | BL017632 | CA | Primary |
Addresses
Primary practice location
1613 S Dollner St
Visalia, CA 93277-4530
Mailing address
734 Elderwood LN
Lemoore, CA 93245-2177
Phone (559) 924-9007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BL017632 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610841600000",
"number": "1306435045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 ELDERWOOD LN",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452177",
"telephone_number": "559-924-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 S DOLLNER ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774530",
"telephone_number": "559-816-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TVEIT-VICKSTROM",
"first_name": "SUSAN",
"middle_name": "JOY",
"credential": "CMT, BTAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-17",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "BL017632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
- Turning Point of Central California, Inc.
- Turning Point of Central California, Inc. (Turning Point Visalia Re-Entry Center)
- Turning Point of Central California, Inc. (Turning Point Youth Services-Charter Alternatives Sattelite Site)
- Turning Point Region 3 Billing
- Skyler Turri
- Alexa Nicole Twet, DO
- Brenda Lee Tyler, BSN PHN
- Chelisa Alene Tyree
- Lorna T Ugale
- Barbara Uichanco, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.