Provider Demographics
NPI:1134402332
Name:BARAD, SONAL CHAVDA (PT)
Entity type:Individual
Prefix:
First Name:SONAL
Middle Name:CHAVDA
Last Name:BARAD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SONAL
Other - Middle Name:
Other - Last Name:CHAVDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1023 N. HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2450
Mailing Address - Country:US
Mailing Address - Phone:615-624-8476
Mailing Address - Fax:317-388-0805
Practice Address - Street 1:5980 W 71ST ST STE 102
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278
Practice Address - Country:US
Practice Address - Phone:317-388-0800
Practice Address - Fax:317-388-0805
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist