Provider Demographics
NPI:1578700092
Name:SLAYTON, SARA ASHLEY (PT)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ASHLEY
Last Name:SLAYTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ASHLEY
Other - Last Name:OTWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1419 HAMRIC DR E
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-2173
Mailing Address - Country:US
Mailing Address - Phone:256-241-3242
Mailing Address - Fax:256-241-3252
Practice Address - Street 1:1419 HAMRIC DR E
Practice Address - Street 2:SUITE 201
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-2173
Practice Address - Country:US
Practice Address - Phone:256-241-3242
Practice Address - Fax:256-241-3252
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist