SearchWashington2255A2300X

Todd Jensen, ATC

NPI 1760984892 · on the registry since 2018 · sole proprietor

Practice

Address
Building 03669 Railroad Ave
Joint Base Lewis-Mcchord, WA 98430
Phone
(719) 351-5925

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington