Individual
JORDAN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3117 SHORE DR, MARINETTE, WI 54143-4293
(715) 732-5111
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100320956
—
WI
Enumeration date
05/22/2023
Last updated
05/06/2025
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