Individual provider · Type 1 NPI

Jennifer Mary Petesky, LMT

Massage Therapist · Dallas, OR

NPI number 1982328878 Active

Practice location

289 E Ellendale Ave Ste 202
Dallas, OR 97338-1541

Call (503) 751-1460 Map

Mailing address

152 SW Wyatt St
Dallas, OR 97338-1239

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27256 (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 1982328878

Jennifer Mary Petesky, LMT's National Provider Identifier is 1982328878, issued on Oct 3, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, OR. The record was last updated on Oct 3, 2022.