Gloria Star Jensen, MANUAL THERAPIST
NPI #1093456345 in Priest River, Idaho
Provider Information
- NPI Number
- 1093456345
- Entity Type
- Individual
- Name
- Gloria Star Jensen, MANUAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MANUAL THERAPIST
- Enumeration Date
- Apr 1, 2022
- Last Updated
- Apr 1, 2022
Practice Location
- Address
- 50 MAIN ST
- City
- Priest River
- State
- Idaho
- ZIP Code
- 83856-6758
- Phone
- (505) 402-1885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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