Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Marie Petroski, LMT

Individual provider Massage Therapist · NPI 1205613577

Jacqueline Marie Petroski, LMT is a Massage Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4379 Deerpath Ln
Philadelphia, PA 19154-3622
Phone: (215) 694-5786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MSG014848 (PA)

Record details

NPI number1205613577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

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