| Kristen Nicole Jensen, | |
|
5055 S Lemay Ave, Fort Collins, CO 80525-9401 | |
| (970) 223-0880 | |
| Not Available |
| Full Name | Kristen Nicole Jensen |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5055 S Lemay Ave, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033463120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10697 (Massachusetts) | Secondary |
| 225X00000X | Occupational Therapist | 17-02729 (Kansas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Nicole Jensen, 11623 Arbor St, Omaha, NE 68144-2981 Ph: () - | Kristen Nicole Jensen, 5055 S Lemay Ave, Fort Collins, CO 80525-9401 Ph: (970) 223-0880 |
Wendy Sultzman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1815 Rosemary Ct, Fort Collins, CO 80528 Phone: 970-219-2439 | |
Mrs. Denise Moharsky, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2955 W Stuart St Apt 5, Fort Collins, CO 80526 Phone: 714-274-4643 | |
Peak & Bounds Incorporated Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 Endicott St, Fort Collins, CO 80524 Phone: 757-897-2839 | |
Amanda Jensen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3307 S College Ave, Ste. 108, Fort Collins, CO 80525 Phone: 970-407-9999 | |
Ms. Patricia Ann Atherly, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4101 Seneca St, Fort Collins, CO 80526 Phone: 970-490-3066 | |
Mrs. Nichole Marie Kain, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2350 Limon Dr, Covell Care, Fort Collins, CO 80525 Phone: 720-295-1607 |