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Kathleen Ann Jensen

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

5969 N Canton Center Rd, Canton, MI 48187-2757

PECOS Enrollment

This provider is enrolled in PECOS as KATHLEEN JENSEN.

Based on the most recent information from CMS, provider Kathleen Ann Jensen is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1679925986
Provider Type
Individual
Full Name
Jensen, Kathleen Ann
Gender
Female

Sole Proprietor
No
Enumeration Date
7/11/2016
Last Updated
4/25/2025

Contact Information

Practice Location

5969 N Canton Center Rd, Canton, MI 48187-2757

(877) 407-3422

(877) 407-4329

Mailing Location

209 S Cherry St, Flushing, MI 48433-2020

(810) 487-9733

(810) 867-4938

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 5501302335 Michigan
Code 225200000X	Description Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 5502003562 Michigan

Kathleen Ann Jensen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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License

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