Provider Demographics
NPI:1578858213
Name:FEIT, VICKI LYNNE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:LYNNE
Last Name:FEIT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7138 BOG HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3801
Mailing Address - Country:US
Mailing Address - Phone:419-360-0100
Mailing Address - Fax:
Practice Address - Street 1:7138 BOG HOLLOW RD
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-3801
Practice Address - Country:US
Practice Address - Phone:419-360-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33017914EG225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist