Jean Vanetten, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

016429 Issued in NY

Practice address

693 East Ave
Retreat House Massage and Wellness Center
Rochester, NY 14607-2152

Phone

(585) 271-7690

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801928239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 RED POST CRES",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509317",
            "telephone_number": "585-415-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 EAST AVE",
            "address_2": "RETREAT HOUSE MASSAGE AND WELLNESS CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072152",
            "telephone_number": "585-271-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANETTEN",
        "first_name": "JEAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "016429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT LICENSE #",
            "identifier": "016429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Lee Vandertang, LICENSED MASSAGE THE
• Reshae Vanderzwan, LCPC
• Sallie Vandling
• Jordyn Mary Vanelli, PT, DPT
• Mary Vanelli, RN
• Alexis Erica Vangellow, DO
• Barbara Blossom Vanhereweghe
• Bradley A Vanheukelum, MD
• Fancy Vanhoose, AAS
• Madison Jane Vanhout, FNP-C

• Massage Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.