Provider Demographics
NPI:1952499410
Name:SHEATS, SONDRA TODD (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:TODD
Last Name:SHEATS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 ARADON TRACE
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120
Mailing Address - Country:US
Mailing Address - Phone:205-629-7964
Mailing Address - Fax:
Practice Address - Street 1:720 MONTCLAIR RD., SUITE 100
Practice Address - Street 2:TRINITY OUTPATIENT REHAB
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213
Practice Address - Country:US
Practice Address - Phone:205-599-4515
Practice Address - Fax:205-599-4535
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist