Provider Demographics
NPI:1740008101
Name:SLOPER, SHARON LEE (LMT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LEE
Last Name:SLOPER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7362 UNIVERSITY AVE NE STE 306
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-3150
Mailing Address - Country:US
Mailing Address - Phone:763-571-5161
Mailing Address - Fax:
Practice Address - Street 1:7362 UNIVERSITY AVE NE STE 306
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-3150
Practice Address - Country:US
Practice Address - Phone:763-571-5161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist