MEDICARE: RACHEL HOPE JENSEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT11631	SD

General Provider Information

NPI Number	:	1043028038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HOPE JENSEN

Provider Business Mailing Address
First Line	:	4106 W VALHALLA BLVD APT 28
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-3736
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3717 S GRANGE AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-6329
Country	:	US
Telephone Number	:	605-782-9871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2024
Last Update Date	:	12/21/2024

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Directions to “ RACHEL HOPE JENSEN ” Practice Location

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