NPI 1093203119

Abby Lucile Jensen

Practitioner Physical Medicine & Rehabilitation Physician Idaho Falls, ID

Practice location

Address: 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Phone: (208) 529-2255
Mailing address: 535 Mariah Ave. Apartment 1104, Rexburg, ID 83440

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PTA-5319 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1093203119
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2018
Record last updated: 24 Apr 2018

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.