Jennifer Mary Petesky, LMT - Massage Therapist in Dallas, OR

Jennifer Mary Petesky, LMT is a Massage Therapist based in Dallas, Oregon. Jennifer Mary Petesky is licensed to practice in Oregon (license number 27256) and her current practice location is 289 E Ellendale Ave Ste 202, Dallas, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 751-1460.

NPI number for Jennifer Mary Petesky is 1982328878 and her current mailing address is 152 Sw Wyatt St, Dallas, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982328878.

Contact Information

Jennifer Mary Petesky, LMT
289 E Ellendale Ave Ste 202,
Dallas, OR 97338-1541
(503) 751-1460
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Mary Petesky
GenderFemale
SpecialityMassage Therapist
Location289 E Ellendale Ave Ste 202, Dallas, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982328878
  • Provider Enumeration Date: 10/03/2022
  • Last Update Date: 10/03/2022

Medical Identifiers

Medical identifiers for Jennifer Mary Petesky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982328878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 27256 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Mary Petesky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Mary Petesky, LMT
152 Sw Wyatt St,
Dallas, OR 97338-1239

Ph: (503) 930-3246
Jennifer Mary Petesky, LMT
289 E Ellendale Ave Ste 202,
Dallas, OR 97338-1541

Ph: (503) 751-1460

Reviews and Comments


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