Individual
JACOB TENLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5764 S 108TH ST, HALES CORNERS, WI 53130-1947
(414) 400-7110
(414) 400-7112
Mailing address
5764 S 108TH ST, HALES CORNERS, WI 53130-1947
(414) 400-7110
(414) 400-7112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
049553
NY
225100000X
Physical Therapist
Primary
1757524
WI
Other
Enumeration date
10/26/2022
Last updated
05/07/2026
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