Individual
MIKAELA KATHERINE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
50 VALPARAISO AVE, ATHERTON, CA 94027-4401
(408) 601-8452
Mailing address
50 VALPARAISO AVE, ATHERTON, CA 94027-4401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000057963
CA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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