Kelly Jensen
Physical Therapy Assistant
801 S Briggs St 2nd Floor
Joliet
, Illinois 60433-9591
Kelly Jensen
Physical Therapy Assistant
801 S Briggs St 2nd Floor
Joliet
, Illinois 60433-9591
(815) 722-1767
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Kelly Jensen
- 801 S Briggs St 2nd Floor
- Joliet, IL
- Zip : 60433-9591
- Fax : (815) 722-1767
- Phone : (815) 722-1757
Second Address
- Kelly Jensen
- 801 S Briggs St 2nd Floor
- Joliet, IL
- Zip : 60433-9591
- Fax : (815) 722-1767
- Phone : (815) 722-1757
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160.006882 | IL |
National Provider Identifier
| NPI | 1013368190 |
|---|---|
| Provider Name | Kelly Jensen |
| First Address | Joliet, IL 60433-9591 |
| Second Address | Joliet, IL 60433-9591 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2016 |
| Last Update Date | 29/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.