Lisa M Jenson, ATC

NPI #1104040047 in Blaine, Minnesota

Provider Information

NPI Number
1104040047
Entity Type
Individual
Name
Lisa M Jenson, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12555 UNIVERSITY AVE NW
City
Blaine
ZIP Code
55434
Phone
(763) 506-6729

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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