NICOLAS SORENSEN (NPI# 1396254165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396254165 |
| Entity Type | Individual |
| Full Name | NICOLAS SORENSEN |
| Credential | LMT |
| Practice Address |
247 West 2230 North #201 Provo UT 84604 |
| Mailing Address |
247 W 2230 N Ste 201 Provo UT 84604-7579 |
| Practice Telephone | (435) 590-9340 |
| Mailing Telephone | 4355909340 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 6267488-4701 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
247 WEST 2230 NORTH #201 |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| 1518414481 | Ihc Health Services Inc | Family Medicine | 395 W Bulldog Blvd Ste 603, Provo, UT 84604 | 2016-09-08 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449529 | Gloria Denam | Massage Therapist | 4801 N University Ave Ste 15, Provo, UT 84604-5573 | 2018-09-05 |
| 1134620990 | Courtney Beth Wilson | Massage Therapist | 363 N University Ave Ste 110, Provo, UT 84601-8425 | 2018-02-26 |
| 1710485628 | Jami Stillwell | Massage Therapist | 55 N University Ave Ste 214, Provo, UT 84601-5006 | 2018-01-25 |
| 1649567033 | Kimberli A Novotny | Massage Therapist | 614 N 1100 E, Provo, UT 84606-2040 | 2011-07-06 |
| 1447646633 | Ennis Mcintier | Massage Therapist | 247 W 2230 N, Suite 201, Provo, UT 84604-1587 | 2015-04-14 |
| 1356688527 | Lisa R. Owens | Massage Therapist | 450 N University Ave, Suite 206, Provo, UT 84601-2860 | 2013-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305841 | Meagan Elizabeth Coy | Massage Therapist | 76 S Main St Ste 7, Moab, UT 84532-2570 | 2020-10-29 |
| 1073113957 | Chelsy L Henline | Massage Therapist | 983 W Main St Ste G, Vernal, UT 84078-2433 | 2020-10-29 |
| 1649870858 | Devan Hadlock | Massage Therapist | 3324 S Holly Dr Apt 3, Millcreek, UT 84109-2691 | 2020-10-27 |
| 1245847961 | Krystle Renee Moon | Massage Therapist | 1568 W Almond Ln, West Jordan, UT 84088-9223 | 2020-09-27 |
| 1902413099 | Justin Gregory Sommers | Massage Therapist | 2030 E Summer Way, Eagle Mountain, UT 84005-4260 | 2020-09-23 |
| 1578179768 | Landon Otto Jarvies | Massage Therapist | 2254 W 325 S, Mapleton, UT 84664-4312 | 2020-09-22 |
| 1376159798 | Sophia Hanks | Massage Therapist | 1118 Chokeberry Dr, St George, UT 84790-8204 | 2020-09-21 |
| 1184230617 | Kurtis Lee Cook | Massage Therapist | 1414 S 800 W Apt 5-2, Woods Cross, UT 84087-2088 | 2020-09-21 |
| 1841804226 | Nanilia Lara | Massage Therapist | 643 Swenson Ave Apt 2, Springville, UT 84663-2562 | 2020-09-03 |
| 1063026573 | Evelyn Thomas | Massage Therapist | 6166 W 8010 S, West Jordan, UT 84081-4322 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.