Individual
TYLER JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
905 N CUSTER AVE, GRAND ISLAND, NE 68803-4304
(308) 398-2170
(308) 398-5232
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 398-2170
(308) 398-5232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3358
NE
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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