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NPI Code Detail

MEDICARE: JESSICA ANN JONES LMT, CLT

MEDICARE: JESSICA ANN JONES LMT, CLT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist29204OR

General Provider Information

NPI Number : 1043177157
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ANN JONES LMT, CLT
Provider Business Mailing Address
First Line : 1760 SW 3RD ST
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1725
Country : US
Telephone Number : 541-745-9011
Fax Number :
Provider Business Practice Location Address
First Line : 1760 SW 3RD ST
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1725
Country : US
Telephone Number : 541-745-9011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ JESSICA ANN JONES LMT, CLT” Practice Location

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