Individual
JENSYN ROSKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-1627
Mailing address
7532 ORE KNOB DR, FENTON, MI 48430-9237
(810) 845-8769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020023
MI
2255A2300X
Athletic Trainer
2601002060
MI
Other
Enumeration date
11/16/2017
Last updated
03/20/2024
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