Individual
MR. AUSTIN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LMT, CSCS
Contact information
Practice address
2601 MANATEE AVE W, BRADENTON, FL 34205-4942
(941) 779-7539
Mailing address
11508 11TH AVE E, BRADENTON, FL 34212-2501
(941) 779-7539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA26159
FL
225700000X
Massage Therapist
Primary
MA71263
FL
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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