Individual
BRETT JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1505
Mailing address
702 E GRANT AVE, EAU CLAIRE, WI 54701-6488
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1318-39
WI
Other
Enumeration date
06/06/2019
Last updated
08/21/2020
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