Individual
DR. AMY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03579
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38538
INDIVIDUAL WELLMARK NORWA
IA
01
—
38539
INDIVIDUAL WELLMARK DES M
IA
01
—
38540
INDIVIDUAL WELLMARK ALTOO
IA
01
—
42689
GROUP WELLMARK
IA
01
—
I7658
MEDICARE GROUP
IA
01
—
I8050
GROUP MEDICARE
IA
Enumeration date
07/08/2005
Last updated
01/20/2022
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