Organization
JENNA LISENBY, DPT, LLC
Active
Other names
Valley Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNA ANNE LISENBY DPT (OWNER/ PT)
(360) 336-3432
Entity
Organization
Contact information
Practice address
1100 ROOSEVELT AVE STE D, MOUNT VERNON, WA 98273-2427
(360) 336-3432
(360) 336-3492
Mailing address
1100 ROOSEVELT AVE STE D, MOUNT VERNON, WA 98273-2427
(360) 336-3432
(360) 336-3492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00007768
WA
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
12/14/2020
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