Doctor Name: | JERRY RICHARD JENSEN |
NPI Number: | 1265548473 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT. MBA |
License Number: | 1100832401 |
Business Practice Address: | 3300 Running Creek Way Ste 150 Bldg B Lehi, UT - 840435673 |
Business Phone Number: | 8017664244 |
Business Fax Number: | 8017664245 |
Mailing Address: | 3300 Running Creek Way Ste 150 Bldg B, LEHI |
State: | UT |
Postal Code: | 840435673 |
Phone Number: | 8017664244 |
Fax Number: | 8017664245 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 02/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1100832401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |