Individual
DR. JACOB JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
754 N COLLEGE RD STE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
(208) 736-1582
Mailing address
754 N COLLEGE RD STE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
(208) 736-1582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10626586-2401
PT LICENSE
UT
05
—
1902341712
—
ID
01
—
PT-5849
PT LICENSE
ID
Enumeration date
01/03/2017
Last updated
02/06/2024
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