VIKTOR FEDOTENKO (NPI# 1497059844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497059844 |
| Entity Type | Individual |
| Full Name | VIKTOR FEDOTENKO |
| Credential | CMT |
| Practice Address |
5535 Hemlock St Sacramento CA 95841-2709 |
| Practice Telephone | 9165960682 |
| Mailing Telephone | 9165960682 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5535 HEMLOCK ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886789 | Latosha Trenet Rivera | Massage Therapist | 3471 Wildwind Ct, Sacramento, CA 95827-3064 | 2020-09-22 |
| 1538774823 | Amber Marie Murray | Massage Therapist | 3400 Cottage Way Ste F2, Sacramento, CA 95825-1474 | 2020-09-13 |
| 1376158089 | Desiree Williams | Massage Therapist | 2341 Northrop Ave Apt 210d, Sacramento, CA 95825-7215 | 2020-09-09 |
| 1043824121 | Clara Matthews | Massage Therapist | 8448 Amrita Ct, Sacramento, CA 95828-6620 | 2020-09-04 |
| 1649884453 | Xavier Couvson | Massage Therapist | 2051 Arena Blvd Ste 100, Sacramento, CA 95834-2311 | 2020-08-31 |
| 1932713732 | Danielle Dunn | Massage Therapist | 2920 Del Paso Blvd Apt 10, Sacramento, CA 95815-1439 | 2020-08-31 |
| 1710591532 | Natasha Henderson | Massage Therapist | 7371 Power Inn Rd Apt 213, Sacramento, CA 95828-3545 | 2020-08-31 |
| 1174081236 | Paul Brown | Massage Therapist | 717 K St Ste 306, Sacramento, CA 95814-3477 | 2019-03-07 |
| 1497229652 | Tiffany Bedolla | Massage Therapist | 717 K St Ste 514, Sacramento, CA 95814-3408 | 2019-01-21 |
| 1922574904 | Sam Dyer Stewart | Massage Therapist | 2784 Freeport Blvd, Sacramento, CA 95818-3053 | 2018-10-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
Please comment or provide details below to improve the information on VIKTOR FEDOTENKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.