Healthcare Provider Details

I. General information

NPI: 1518540723
Provider Name (Legal Business Name): TAYLOR J SORENSON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 W 100 S
SPANISH FORK UT
84660-5881
US

IV. Provider business mailing address

336 W 100 S
SPANISH FORK UT
84660-5881
US

V. Phone/Fax

Practice location:
  • Phone: 801-798-7301
  • Fax: 801-798-8513
Mailing address:
  • Phone: 801-798-7301
  • Fax: 801-798-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number14211309-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: