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JENNIFER MARY PETESKY LMT
NPI 1982328878
Massage Therapist in Dallas, OR

Active since October 03, 2022
289 E ELLENDALE AVE STE 202, DALLAS, OR 97338(503) 751-1460 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Mary Petesky Lmt NPPES

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

JENNIFER MARY PETESKY LMT (NPI 1982328878) is an individual massage therapist in Dallas, Oregon, licensed in Oregon (27256) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1982328878
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJENNIFER MARY PETESKYCredential: LMT
Location Address289 E ELLENDALE AVE STE 202Dallas, OR 97338-1541
Mailing Address152 Sw Wyatt StDallas, OR 97338-1239 · (503) 930-3246
Phone(503) 751-1460
Sole ProprietorNo
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1982328878 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 · 27256
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.
289 E ELLENDALE AVE STE 202, Dallas, OR 97338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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 Jennifer Petesky's NPI number?

The NPI number for Jennifer Petesky is 1982328878. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Jennifer Petesky located?

Jennifer Petesky practices at 289 E Ellendale Ave Ste 202, Dallas, OR 97338. The listed phone number is (503) 751-1460.

What is Jennifer Petesky's specialty?

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

What insurance does Jennifer Petesky accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jennifer Petesky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Petesky was last updated on October 3, 2022. 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.