| Brandie Detar, | |
|
18200 Yorba Linda Blvd, Suite 104, Yorba Linda, CA 92886-4056 | |
| (714) 646-8000 | |
| (714) 572-2562 |
| Full Name | Brandie Detar |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 18200 Yorba Linda Blvd, Yorba Linda, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871824466 | NPI | - | NPPES |
| 1237678 | Other | CA | MASSAGE THERAPY ASSOCIATION LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 1237678 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandie Detar, 18200 Yorba Linda Blvd, Suite 401, Yorba Linda, CA 92886-4056 Ph: (714) 646-8000 | Brandie Detar, 18200 Yorba Linda Blvd, Suite 104, Yorba Linda, CA 92886-4056 Ph: (714) 646-8000 |
Kelly Hinkson, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 20381 Via Celestina, Yorba Linda, CA 92887 Phone: 714-376-3938 | |
Ms. Lian Ying Liu, CMT OF CA, NATIONAL Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18501 Yorba Linda Blvd, Yorba Linda, CA 92886 Phone: 714-693-7277 | |
Christina L Ponce, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18200 Yorba Linda Blvd, Suite 308, Yorba Linda, CA 92886 Phone: 714-646-8070 | |
Melissa S Householder, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4722 Cedar Ave, Yorba Linda, CA 92886 Phone: 714-920-2535 | |
Alba Tucker, MT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18200 Yorba Linda Blvd, Suite 308, Yorba Linda, CA 92886 Phone: 714-577-6031 Fax: 714-572-2562 | |
Tamara Fairris, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18200 Yorba Linda Blvd, Ste #401, Yorba Linda, CA 92886 Phone: 714-986-3300 |