Individual provider · Type 1 NPI

Jeremy R. Radke, LMT

Massage Therapist · Salem, OR

NPI number 1306695077 Active

Practice location

3523 Fairview Industrial Dr SE
Salem, OR 97302-1155

Call (971) 453-0800 Map

Mailing address

154 SE Foundation Dr
Dallas, OR 97338-9787

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28270 (OR)

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.

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About NPI 1306695077

Jeremy R. Radke, LMT's National Provider Identifier is 1306695077, issued on May 15, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Jun 22, 2025.