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Individual

MR. MICHAEL JOHN JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT, OCS

Contact information

Practice address
115 SMELTER AVE NE, SUITE 104, GREAT FALLS, MT 59404
(406) 727-2826
(406) 727-3522
Mailing address
115 SMELTER AVE NE, SUITE 104, GREAT FALLS, MT 59404
(406) 727-2826
(406) 727-3522

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
776
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0340812
MT
01
60963
BCBS
MT
Enumeration date
03/16/2006
Last updated
06/09/2015
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