Healthcare Provider Details

I. General information

NPI: 1730826595
Provider Name (Legal Business Name): LAUREN B SORENSEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 W 10 RD
PHILLIPS NE
68865-2107
US

IV. Provider business mailing address

544 W 10 RD
PHILLIPS NE
68865-2107
US

V. Phone/Fax

Practice location:
  • Phone: 308-216-0260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3365
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: