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NPI Code Detail

MEDICARE: JENSEN WELLNESS

MEDICARE: JENSEN WELLNESS
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
1283X00000XRehabilitation Hospital
2208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1215648381
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENSEN WELLNESS
Provider Business Mailing Address
First Line : PO BOX 8111
Second Line :
City : BOISE
State : ID
Zip : 83707-2111
Country : US
Telephone Number : 208-207-9272
Fax Number : 208-980-7953
Provider Business Practice Location Address
First Line : 711 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1445
Country : US
Telephone Number : 208-605-3000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ZACHARIAH J JENSEN
Credential : D.O.
Telephone Number : 208-207-9272
Provider Enumeration Date : 12/09/2022
Last Update Date : 01/02/2026

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