Individual
MAETHEL JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1021 N 3RD ST, MEMPHIS, TN 38107-1870
(256) 454-2297
Mailing address
1021 N 3RD ST, MEMPHIS, TN 38107-1870
(256) 454-2297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000010870
TN
225700000X
Massage Therapist
2660
AL
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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