OrganizationActive
Jenna Lisenby, Dpt, LLC
NPI 1891096194 · Pediatric Physical Therapist · Mount Vernon, WA
Provider details
- NPI number
- 1891096194
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jenna Lisenby, Owner/ PT(360) 336-3432
- License
- PT00007768 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 Roosevelt Ave Ste D
Mount Vernon, WA 98273-2427
Phone: (360) 336-3432
Fax: (360) 336-3492
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Roosevelt Ave Ste D
Mount Vernon, WA 98273-2427
Other names (DBA / former)
- Doing business as
- Valley Kids Therapy
Registry dates
- Enumerated
- 2010-11-03
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.