Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle M Grace-Jensen, PT

Individual provider Physical Therapist · NPI 1780625764

Michelle M Grace-Jensen, PT is a Physical Therapist in Random Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

233 Carroll St
Random Lake, WI 53075-1795
Phone: (920) 912-0058
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3728-24 (WI)

Record details

NPI number1780625764
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESAugust 13, 2007

Other providers in Random Lake