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Individual
TIFFANY LYNN JENSON
Active
Individual
TIFFANY LYNN JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007880
WA
225100000X
Physical Therapist
PT7880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174506802
—
WA
01
—
134891
L AND I
—
05
—
2078120
—
WA
05
—
7080112
—
WA
01
—
P01782560
RR MEDICARE
WA
Enumeration date
11/28/2005
Last updated
10/14/2022
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