Russell J Jensen, PTA

NPI #1124389713 in Higginsville, Missouri

Provider Information

NPI Number: 1124389713
Entity Type: Individual
Name: Russell J Jensen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 31, 2012
Last Updated: Sep 7, 2012

Practice Location

Address: 720 FAIRGROUND AVE
City: Higginsville
State: Missouri
ZIP Code: 64037-1638
Phone: (660) 584-7801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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