| Gloria Star Jensen, MANUAL THERAPIST | |
|
50 Main St, Priest River, ID 83856-6758 | |
| (505) 402-1885 | |
| Not Available |
| Full Name | Gloria Star Jensen |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 50 Main St, Priest River, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093456345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAS-291 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Star Jensen, MANUAL THERAPIST 50 Main St, Priest River, ID 83856-6758 Ph: () - | Gloria Star Jensen, MANUAL THERAPIST 50 Main St, Priest River, ID 83856-6758 Ph: (505) 402-1885 |
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Ken Miller, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Ninth St, Priest River, ID 83856 Phone: 208-448-2808 | |
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