# MR. ZACHARIAH JON JENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184128175
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 12884 | SD | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 0102205792 | VA | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 12884 | SD | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 174114 | MT | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | O-1779 | ID | — |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 06/18/2026