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

Jeremy R Radke, LMT

Individual provider Massage Therapist · NPI 1306695077

Jeremy R Radke, LMT is a Massage Therapist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

3523 Fairview Industrial Dr SE
Salem, OR 97302-1155
Phone: (971) 453-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 28270 (OR)

Record details

NPI number1306695077
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

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