Individual
KRISTIN SORVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1676
ND
225100000X
Physical Therapist
8840
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064-0013977
MEDICA
MN
01
—
1295015642
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
225100000X
—
MN
Enumeration date
08/17/2011
Last updated
12/10/2021
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