| Doctor Name: | DR. JACOB R JENSSEN |
| NPI Number: | 1437289659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, ATC |
| License Number: | 37056 |
| Business Practice Address: | 1125 Cedar St Suite 106 Monticello, MN - 553624663 |
| Business Phone Number: | 7632954201 |
| Business Fax Number: | 7632953895 |
| Mailing Address: | 1125 Cedar St, Suite 106 MONTICELLO |
| State: | MN |
| Postal Code: | 553624663 |
| Phone Number: | 7632954201 |
| Fax Number: | 7632953895 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 03/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 37056 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |