Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M JENSON, ATC
Active Sole ProprietorLISA M JENSON, ATC is a Athletic Trainer healthcare provider located in BLAINE, Minnesota. NPI 1104040047 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLAINE, MN
Registration Details
- NPI Number
- 1104040047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2007 (19.298367111059 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1453 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12555 UNIVERSITY AVE NWBLAINE, MN, 55434Browse MN providers · Browse ZIP 55434
- Phone
- 7635066729
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. PATRICIA A. MOEN | M.S., ATC | 1689638066 |
| MR. AARON LAWRENCE GROTH | ATC, CSCS | 1891719191 |
| MR. DANIEL EDWARD SANDELL | ATC | 1326289901 |
| ANN STUDNISKI | — | 1740683192 |
| CARISSA FLEEK | — | 1528466372 |
| ASHLEY KAY LINDAHL | ATC, LAT | 1720476294 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.