Provider Demographics
NPI:1942646955
Name:JENSEN, DEBBORAH ANN (NCMT)
Entity Type:Individual
Prefix:MS
First Name:DEBBORAH
Middle Name:ANN
Last Name:JENSEN
Suffix:
Gender:F
Credentials:NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27830 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3712
Mailing Address - Country:US
Mailing Address - Phone:734-502-2102
Mailing Address - Fax:
Practice Address - Street 1:32910 W 13 MILE RD
Practice Address - Street 2:SUITE C 301
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1980
Practice Address - Country:US
Practice Address - Phone:724-502-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist