Provider Demographics
NPI:1699948547
Name:KNAPP, SHARON A (LMT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:KNAPP
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 1:13400 SUTTON PARK DR S
Mailing Address - Street 2:SUITE 1502
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-0236
Mailing Address - Country:US
Mailing Address - Phone:904-223-6882
Mailing Address - Fax:904-223-6937
Practice Address - Street 1:13400 SUTTON PARK DR S
Practice Address - Street 2:SUITE 1502
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-0236
Practice Address - Country:US
Practice Address - Phone:904-223-6882
Practice Address - Fax:904-223-6937
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA27898225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist