MEDICARE: REBECCA JEAN BUNNE-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	2251G0304X	Geriatric Physical Therapist	12651	MN

General Provider Information

NPI Number	:	1861337313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA JEAN BUNNE-JENSEN

Provider Business Mailing Address
First Line	:	1079 KINGS PARK RD NW
Second Line	:
City	:	ORONOCO
State	:	MN
Zip	:	55960-2062
Country	:	US
Telephone Number	:	507-272-7822
Fax Number	:	507-272-7822

Provider Business Practice Location Address
First Line	:	1900 BALLINGTON BLVD NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-5202
Country	:	US
Telephone Number	:	952-955-2242
Fax Number	:	952-955-2010

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

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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