Provider Demographics
NPI:1083008171
Name:SANDERS, MARGARET SLOAN TRANUM (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET SLOAN
Middle Name:TRANUM
Last Name:SANDERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:SLOAN
Other - Last Name:TRANUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 HIGHWAY 49 S
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-9425
Mailing Address - Country:US
Mailing Address - Phone:769-233-8844
Mailing Address - Fax:769-251-1525
Practice Address - Street 1:1201 HIGHWAY 49 S
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9425
Practice Address - Country:US
Practice Address - Phone:769-233-8844
Practice Address - Fax:769-251-1525
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS5544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist