Jessica Suzanne Pedersen, LMT

NPI #1073995429 in Pendleton, Oregon

Provider Information

NPI Number: 1073995429
Entity Type: Individual
Name: Jessica Suzanne Pedersen, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 22, 2015
Last Updated: Sep 1, 2018

Practice Location

Address: 812 NW 12TH ST
City: Pendleton
State: Oregon
ZIP Code: 97801
Phone: (541) 310-8572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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