Kimberly Ann Petesky, LMT

NPI #1104522937 in Salem, Oregon

Provider Information

NPI Number: 1104522937
Entity Type: Individual
Name: Kimberly Ann Petesky, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 2, 2023
Last Updated: Feb 2, 2023

Practice Location

Address: 4356 COMMERCIAL ST SE
City: Salem
State: Oregon
ZIP Code: 97302-3914
Phone: (503) 689-1216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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