Individual
KAITLYN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, PTA
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-6167
(715) 822-6142
Mailing address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-6167
(715) 822-6142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2856-19
WI
2255A2300X
Athletic Trainer
Primary
1260-39
WI
Other
Enumeration date
05/01/2012
Last updated
10/07/2019
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