Healthcare Provider Details

I. General information

NPI: 1548068513
Provider Name (Legal Business Name): SORENSON CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3673 LEXINGTON AVE N STE E
ARDEN HILLS MN
55126-2981
US

IV. Provider business mailing address

3673 LEXINGTON AVE N STE E
ARDEN HILLS MN
55126-2981
US

V. Phone/Fax

Practice location:
  • Phone: 507-450-9974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KYLE SORENSON
Title or Position: OWNER/CHIROPRACTOR
Credential:
Phone: 507-450-9974