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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL J JENSEN, PTA

Active

RUSSELL J JENSEN, PTA is a Occupational Therapist healthcare provider located in HIGGINSVILLE, Missouri. NPI 1124389713 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · HIGGINSVILLE, MO

Registration Details

NPI Number
1124389713
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2012 (14.196773228098 yrs)
Last Updated
Sep 7, 2012
License
117234 (MO)

Practice Information

Address
720 FAIRGROUND AVE
HIGGINSVILLE, MO, 640371638
Browse MO providers · Browse ZIP 64037
Phone
6605847801
Fax
6605848619
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in HIGGINSVILLE, MO

Name Credential NPI
ERIKA MICHELLE JENNINGS PTA 1669721908
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.