Individual
KRAIG C SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10121 W CLEARWATER AVE STE 113, KENNEWICK, WA 99336-3500
(509) 491-3807
(509) 593-5020
Mailing address
10121 W CLEARWATER AVE, STE 113, KENNEWICK, WA 99336-3500
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421812
LABOR & INDUSTRIES
WA
05
—
8375362
—
WA
01
—
P00350500
RR MEDICARE
WA
Enumeration date
10/02/2006
Last updated
11/16/2020
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