Individual
KRISTIE A JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE-2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
3742 HAMMERSLEY AVE, COMPLIANCE MAIL CODE-2433, MADISON, WI 53705-5236
(608) 238-4186
(608) 263-2215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1683-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1683-024
PT
WI
Enumeration date
07/21/2006
Last updated
07/08/2007
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