Payton Michael Jensen
Payton Michael Jensen is a Student in an Organized Health Care Education/Training Program in Ottawa, Illinois. Works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
402 E Van Buren StOttawa, IL 61350-3603
Phone: (815) 830-8290
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 113 Inverness Rd, Starkville, MS 39759-6575 — (815) 830-8290
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2000028443 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548718570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 19, 2016 |
| Last updated in NPPES | March 17, 2018 |
| Mailing address | 402 E Van Buren St, Ottawa, IL 61350-3603 |
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