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Jennifer Mary Petesky, LMT
Massage Therapist in Dallas, Oregon
NPI 1982328878

Jennifer Mary Petesky is a Massage Therapist based in Dallas, OR. Jennifer Mary Petesky practices in Dallas, OR and has the professional credentials of LMT. The NPI Number for Jennifer Mary Petesky is 1982328878 and holds a License No. 27256 (Oregon).

The current practice location address for Jennifer Mary Petesky is 289 E Ellendale Ave Ste 202, Dallas, OR and can be reached out via phone at 503-751-1460. You can also correspond with Jennifer Mary Petesky through the mailing address at 152 SW WYATT ST, DALLAS, OR - 97338-1239 (mailing address contact number: 503-930-3246).

Location: 289 E Ellendale Ave Ste 202, Dallas, OR, 97338-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982328878
Provider Name
Jennifer Mary Petesky
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
289 E Ellendale Ave Ste 202, Dallas, OR, 97338-1239
Phone Number
503-751-1460
Fax Number
Provider Enumeration Date
10/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
289 E Ellendale Ave Ste 202
City
Dallas
State
Oregon
Zip
97338-1541
Phone Number
503-751-1460
Fax Number
person
Provider Business Mailing Address Details
Address
289 E Ellendale Ave Ste 202
City
Dallas
State
Oregon
Zip
97338-1541
Phone Number
503-751-1460
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
27256 (Oregon)
Definition
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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