Doctor Name: | STEVEN W JENSEN |
NPI Number: | 1780769562 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5082 |
Business Practice Address: | 40520 Co Hwy 34 Ogema, MN - 56569 |
Business Phone Number: | 2189836385 |
Business Fax Number: | 2189833773 |
Mailing Address: | 24238 E Island Lake Rd, DETROIT LAKES |
State: | MN |
Postal Code: | 565018105 |
Phone Number: | 2189836385 |
Fax Number: | 2189836217 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |