Provider Demographics
NPI:1124228515
Name:JENSEN, MARCI LEE (MSPT)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:LEE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 SANGRE DE CRISTO RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4248
Mailing Address - Country:US
Mailing Address - Phone:303-932-1101
Mailing Address - Fax:303-932-0331
Practice Address - Street 1:8340 SANGRE DE CRISTO RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4248
Practice Address - Country:US
Practice Address - Phone:303-932-1101
Practice Address - Fax:303-932-0331
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6866225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist