Provider Demographics
NPI:1821734823
Name:BONNER, SARAH FAITH HILL (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FAITH HILL
Last Name:BONNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:FAITH
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-656-0388
Mailing Address - Fax:
Practice Address - Street 1:7559C HIGHWAY 72 W STE 110
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8749
Practice Address - Country:US
Practice Address - Phone:256-772-9155
Practice Address - Fax:256-772-9154
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2-1100225100000X
ALPTH10821225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist