Brett Jensen, LAT, ATC
Individual provider Active NPI Athletic Trainer · Baldwin, WI
NPI 1508425356 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1508425356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1318-39 (WI)
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1505
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1318-39 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1318-39 | WI | Yes |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
702 E Grant Ave
Eau Claire, WI 54701-6488
Other practice location 1
1309 Stout Rd
Menomonie, WI 54751-2959
Phone (715) 829-4224
Other practice location 2
517 E Clairemont Ave
Eau Claire, WI 54701-6479
Phone (715) 829-4224
Other providers in Baldwin, WI
- Kayode Idowu
- Brittany Iverson
- Jammie Lynn Jacobs
- Douglas Earl Jacot
- Diane D Jasperson
- Katie Kristine Johnson
- Molly Johnston
- Kate Lynn Jones
- Jacqueline Ann Jorgenson
- Emmy Lou Kaczmarski
All providers in Baldwin, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. 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.