Organization
JENSENS SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK K JENSEN CERTIFIED PEDORTHIST (OWNER)
(615) 356-9699
Entity
Organization
Contact information
Practice address
73 WHITE BRIDGE RD, SUITE 123, NASHVILLE, TN 37205-1444
(615) 356-9699
(615) 356-9702
Mailing address
73 WHITE BRIDGE RD, SUITE 123, NASHVILLE, TN 37205-1444
(615) 356-9699
(615) 356-9702
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
TN
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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