Individual
SHARON R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 165, EDEN PRAIRIE, MN 55344-3802
(952) 949-0676
Mailing address
4352 CHESTNUT LN NE, PRIOR LAKE, MN 55372-1185
(952) 201-6841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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