Healthcare Provider Details

I. General information

NPI: 1104007988
Provider Name (Legal Business Name): SHARON ANNE BELL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 FIRST ST. NE SUITE 101
LITTLE FALLS MN
56345
US

IV. Provider business mailing address

309 FIRST ST. NE SUITE 101
LITTLE FALLS MN
56345
US

V. Phone/Fax

Practice location:
  • Phone: 320-631-2302
  • Fax: 320-631-2303
Mailing address:
  • Phone: 320-631-2302
  • Fax: 320-631-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7858
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: