Provider Demographics
NPI:1467332288
Name:AMANDA SORRENTINO LMT PLLC
Entity type:Organization
Organization Name:AMANDA SORRENTINO LMT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:360-504-8904
Mailing Address - Street 1:7411 W CLEARWATER AVE
Mailing Address - Street 2:UPPER UNIT B
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1683
Mailing Address - Country:US
Mailing Address - Phone:360-504-8904
Mailing Address - Fax:509-581-6123
Practice Address - Street 1:7411 W CLEARWATER AVE
Practice Address - Street 2:UPPER UNIT B
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1683
Practice Address - Country:US
Practice Address - Phone:360-504-8904
Practice Address - Fax:509-581-6123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty