| Doctor Name: | SHARON SINCERE FENN |
| NPI Number: | 1457476798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.T. |
| License Number: | |
| Business Practice Address: | 5810 Excelsior Blvd C/o Spine Care, Pa. St Louis Park, MN - 55416 |
| Business Phone Number: | 6129987911 |
| Business Fax Number: | 9529278687 |
| Mailing Address: | 2201 Long Prairie Rd, Suite 107320 FLOWER MOUND |
| State: | TX |
| Postal Code: | 750224832 |
| Phone Number: | 6129987911 |
| Fax Number: | 9726928673 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 02/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |