Individual
KATHERINE ANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8227 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1387
(317) 415-5747
Mailing address
8227 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001743A
IN
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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