Individual
MCKENNA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16106-24
WI
225100000X
Physical Therapist
2020025705
MO
Other
Enumeration date
08/12/2020
Last updated
06/20/2023
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