Individual
BRADLEY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1136 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2221
(801) 581-2043
Mailing address
1136 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2221
(801) 581-2043
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9045224-2401
UT
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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