Individual
DR. JACOB R JENSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
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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