Individual
RICHARD ROY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3383 LOST CREEK RD, ANACONDA, MT 59711
(406) 560-6818
(406) 563-4487
Mailing address
3383 LOST CREEK RD, ANACONDA, MT 59711-9216
(406) 560-6818
(406) 563-4487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1215
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347361
—
MT
01
—
060478
BCBS
MT
Enumeration date
07/10/2006
Last updated
05/15/2019
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