Individual
ALISA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, ATR
Contact information
Practice address
2090 WOODWINDS DR STE 150, WOODBURY, MN 55125-2522
(651) 968-5097
Mailing address
2090 WOODWINDS DR STE 150, WOODBURY, MN 55125-2522
(651) 968-5097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2208
MN
Other
Enumeration date
08/27/2014
Last updated
02/05/2015
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