Organization
JENNA LISENBY, DPT, LLC
Active
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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