DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA SUZANNE PEDERSEN, LMT

Active Sole Proprietor

JESSICA SUZANNE PEDERSEN, LMT is a Massage Therapist healthcare provider located in PENDLETON, Oregon. NPI 1073995429 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PENDLETON, OR

Registration Details

NPI Number
1073995429
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2015 (11.107878090185 yrs)
Last Updated
Sep 1, 2018
Licenses
20139 (OR)
60540879 (WA)
Sole Proprietor
Yes

Practice Information

Address
812 NW 12TH ST
PENDLETON, OR, 97801
Browse OR providers · Browse ZIP 97801
Phone
5413108572
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in PENDLETON, OR

Name Credential NPI
MRS. SHAWNA L. ALL LMT 1801302849
NICOLE AMORA-SMITH LMT 1437957735
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.