BRADLEY JENSEN

SALT LAKE CITY, UT
NPI1972901437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: UT  9045224-2401)
Enumeration Date2014-12-16
Last Update Date2014-12-16
Business Address
-- BRADLEY JENSEN DPT
1136 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2221
Mailing Address
-- BRADLEY JENSEN DPT
1136 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2221