Tonya Ruth Jensen, LMT
Massage Therapist in Heyburn, ID. Individual provider (NPI-1).
NPI number1972339869
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1972339869
- Entity type
- Individual (NPI-1)
- Name
- Tonya Ruth Jensen
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 5361772 | ID | Yes |
Practice location
553 S 400 WHeyburn, ID 83336-8690
Phone 801-960-5163
Mailing address
553 S 400 WHeyburn, ID 83336-8690
Phone 801-960-5163
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