NPI 1396254165

Nicolas Sorensen, LMT

Practitioner Massage Therapist Provo, UT

Practice location

Address: 247 West 2230 North #201, Provo, UT 84604
Phone: (435) 590-9340
Mailing address: 247 W 2230 N STE 201, Provo, UT 84604-7579

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6267488-4701 (UT)

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Registry record

NPI: 1396254165
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.