Individual
DR. JACOB R JENSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1000 SCHOOL ST NW, ELK RIVER, MN 55330-1337
(763) 400-7438
Mailing address
1000 SCHOOL ST NW, ELK RIVER, MN 55330-1337
(763) 400-7438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37056
CA
225100000X
Physical Therapist
Primary
8555
MN
2255A2300X
Athletic Trainer
020702691
MN
Other
Enumeration date
03/06/2007
Last updated
03/27/2023
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