Individual
JESSICA MARIE PELFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2226 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 215-1725
Mailing address
2226 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 215-1725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.009510-N-R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3117637050
OHIO BUREAU OF WORKERS COMPENSATION
OH
Enumeration date
01/14/2010
Last updated
01/14/2010
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