Kelly Jenson, PT

NPI #1366497190 in Lockport, Illinois

Provider Information

NPI Number: 1366497190
Entity Type: Individual
Name: Kelly Jenson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 23, 2006
Last Updated: Feb 23, 2011

Practice Location

Address: 16622 W 159TH ST
Address 2: STE 503
City: Lockport
State: Illinois
ZIP Code: 60441-8014
Phone: (815) 838-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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