Vinnette Ann Detloff, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

74845 Issued in CA

Practice address

113 S Green St
Tehachapi, CA 93561-1716

Phone

(661) 527-4146

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moments of Peace Massage Therapy

  • Massage Therapist
  • Tehachapi, CA
  • NPI 1285103457
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1679069629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ALDER AVE",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612475",
            "telephone_number": "661-527-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S GREEN ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611716",
            "telephone_number": "661-527-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETLOFF",
        "first_name": "VINNETTE",
        "middle_name": "ANN",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "74845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Trungthu Dao, PHARMD
• David Moody Dental Corporation
• Nickole Daniel Dech
• Karyn L Delichte, PHD
• Elin Der-Hacopian
• Debby D Diamond, LCSW
• Jennifer Diaz, LVN
• Jacqueline Garcia Dolan, M.S.
• Matthew Thomas Dolan
• Donald Lee Pearson DDS Dental Corporation

• All providers in Tehachapi, CA
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.