Healthcare Provider Details

I. General information

NPI: 1760312854
Provider Name (Legal Business Name): TRAE M SINN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16517 VANDERBILT DR STE 1
BONITA SPRINGS FL
34134-7550
US

IV. Provider business mailing address

16517 VANDERBILT DR STE 1
BONITA SPRINGS FL
34134-7550
US

V. Phone/Fax

Practice location:
  • Phone: 239-992-5311
  • Fax: 239-947-6338
Mailing address:
  • Phone: 239-992-5311
  • Fax: 239-947-6338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TRAE MICHAEL SINN
Title or Position: PRESIDENT
Credential: DC
Phone: 419-789-2519