Provider Demographics
NPI:1023220449
Name:STEELE, SANDRA DENISE (PT)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DENISE
Last Name:STEELE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:SHIRLEY
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:6096 HAGARS GROVE PASS
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-5603
Mailing Address - Country:US
Mailing Address - Phone:615-516-8822
Mailing Address - Fax:
Practice Address - Street 1:1430 W BADDOUR PKWY STE C
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-2656
Practice Address - Country:US
Practice Address - Phone:615-453-1422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist