Individual
KRISTAL M JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1 W FIRESTORM WAY, GLENDALE, AZ 85306-3216
(541) 910-1157
Mailing address
7455 N 95TH AVE APT 333, GLENDALE, AZ 85305-1338
(541) 910-1157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-100102
AZ
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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