Linda Kay Jensen, ATC, LAT
Individual provider Active NPI Athletic Trainer · Lansing, KS
NPI 1164552949 · NPPES record last updated Jan 20, 2017
Key facts
- NPI
- 1164552949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 102080 (MO)
- Practice address
- 451 Ash LN
Lansing, KS 66043-6286 - Phone
- (573) 855-9783
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102080 | MO | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 102080 | MO | Yes |
Addresses
Primary practice location
451 Ash LN
Lansing, KS 66043-6286
Mailing address
451 Ash LN
Lansing, KS 66043-6286
Phone (573) 855-9783
Other providers in Lansing, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.