Individual
KAITLYN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, ATR
Contact information
Practice address
4185 BRADDOCK TRL, EAGAN, MN 55123-1575
(651) 683-6945
Mailing address
4200 DAHLBERG DR, #300, GOLDEN VALLEY, MN 55422-4840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2404
MN
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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