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MICHELLE M GRACE-JENSEN, PT

Active

MICHELLE M GRACE-JENSEN, PT is a Physical Therapy Assistant healthcare provider located in RANDOM LAKE, Wisconsin. NPI 1780625764 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RANDOM LAKE, WI

Registration Details

NPI Number
1780625764
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2006 (20.199589596783 yrs)
Last Updated
Aug 13, 2007
License
3728-24 (WI)

Practice Information

Address
233 CARROLL ST
RANDOM LAKE, WI, 530751795
Browse WI providers · Browse ZIP 53075
Phone
9209120058
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RANDOM LAKE, WI

Name Credential NPI
MRS. MARLENA ELIZABETH SALAZAR PT 1417901141
RICHARD POLK PT 1225233323
MRS. JULIE M. SCHMITT PT 1700043437
MS. VIRGINIA K BOWEN P.T. 1790916443
ABBY LYNN RISSE PT 1487988432
ELLEN GRANDAW MARTIN 1902572571
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.