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KIMBERLY ANN PETESKY LMT
NPI 1104522937
Massage Therapist in Salem, OR

Active since February 02, 2023
4356 COMMERCIAL ST SE, SALEM, OR 97302(503) 689-1216 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Petesky Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN PETESKY LMT (NPI 1104522937) is an individual massage therapist in Salem, Oregon, licensed in Oregon (27221) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1104522937
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY ANN PETESKYCredential: LMT
Location Address4356 COMMERCIAL ST SESalem, OR 97302-3914
Mailing Address5134 Linda Ct SeSalem, OR 97306-1789 · (503) 551-6110
Phone(503) 689-1216
Sole ProprietorNo
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1104522937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 27221
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.
4356 COMMERCIAL ST SE, Salem, OR 97302
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSHUA ROBERT WOLFRAM D.C.
Chiropractor
4356 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 383-9375
MRS. KIMBERLY DAWN MERRELL
Massage Therapist
4356 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 689-1216
EMILY KREIFELS
Chiropractor
4356 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 689-1216
MRS. KELLY ANN HOOD LMT
Student in an Organized Health Care Education/Training Program
4356 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 689-1216
NATHAN FURUMASU
Chiropractor
4356 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 689-1216
JANELLE LEE DOUGLASS
Massage Therapist
4356 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 689-1216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Petesky's NPI number?

The NPI number for Kimberly Petesky is 1104522937. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Kimberly Petesky located?

Kimberly Petesky practices at 4356 Commercial St SE, Salem, OR 97302. The listed phone number is (503) 689-1216.

What is Kimberly Petesky's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kimberly Petesky was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.