Provider Demographics
NPI:1043691801
Name:SOKOLOSKI, LAUREN CHRISTIAN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CHRISTIAN
Last Name:SOKOLOSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:MICHELLE
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:316 W. SPRUCE ST.
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802
Mailing Address - Country:US
Mailing Address - Phone:406-541-9500
Mailing Address - Fax:406-541-9501
Practice Address - Street 1:316 W SPRUCE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4108
Practice Address - Country:US
Practice Address - Phone:406-541-9500
Practice Address - Fax:406-541-9501
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist