Individual
KIMBERLY ANN PETESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4356 COMMERCIAL ST SE, SALEM, OR 97302-3914
(503) 689-1216
Mailing address
5134 LINDA CT SE, SALEM, OR 97306-1789
(503) 551-6110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27221
OR
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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