Individual provider · Type 1 NPI
Nicolas Sorensen, LMT
Massage Therapist · Provo, UT
NPI number
1396254165
Active
Practice location
247 West 2230 North #201
Provo, UT 84604
Mailing address
247 W 2230 N Ste 201
Provo, UT 84604-7579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6267488-4701 (UT) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1396254165
Nicolas Sorensen, LMT's National Provider Identifier is 1396254165, issued on Sep 25, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Provo, UT. The record was last updated on Jul 21, 2022.