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Individual

MICHELLE DIANE JENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC PTA

Contact information

Practice address
1425 S COLUMBIA RD, GRAND FORKS, ND 58201-4039
(701) 746-8374
Mailing address
1425 S COLUMBIA RD, GRAND FORKS, ND 58201-4039
(701) 746-8374

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A877
MN
2255A2300X
Athletic Trainer
Primary
1174
MN

Other

Enumeration date
09/18/2013
Last updated
01/19/2026
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