Provider Demographics
NPI:1942457627
Name:SORENSON, TAMMY (MS, LAC, LMT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:SORENSON
Suffix:
Gender:F
Credentials:MS, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7953 FIELD CT
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4350
Mailing Address - Country:US
Mailing Address - Phone:917-575-6075
Mailing Address - Fax:
Practice Address - Street 1:1045 ACOMA ST
Practice Address - Street 2:SUITE #2
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4029
Practice Address - Country:US
Practice Address - Phone:917-575-6075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU-1419171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist