Provider Demographics
NPI:1568582831
Name:WINSLOW, SANDRA KAY (PT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAY
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:KAY
Other - Last Name:WINSLOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:3540 TIFFANY OAKS LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-3066
Mailing Address - Country:US
Mailing Address - Phone:901-289-5986
Mailing Address - Fax:
Practice Address - Street 1:2100 EXETER RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3922
Practice Address - Country:US
Practice Address - Phone:901-757-1350
Practice Address - Fax:901-757-3496
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist