NPI 1720413792

Jensen Chiropractic and Wellness PLLC

Organisation Chiropractor Middleton, ID

Practice location

Address: 533 S Middleton Rd Suite 102, Middleton, ID 83644-6013
Phone: (208) 585-3000
Fax: (208) 585-2222

Authorised official

Name: Kenneth Dean Jensen
Title: Chiropractic Physician
Phone: (208) 585-3000

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA1565 (ID)

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Registry record

NPI: 1720413792
Entity type: Organization
NPI issued: 10 Sep 2013
Record last updated: 10 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.