Basic Information
| Provider Information | |||||||||
| NPI: | 1821734823 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BONNER | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | FAITH HILL | ||||||||
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| Credential: | PT | ||||||||
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| OtherLastName: | HILL | ||||||||
| OtherFirstName: | SARAH | ||||||||
| OtherMiddleName: | FAITH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 306393 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372306393 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156560388 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7559C HIGHWAY 72 W STE 110 | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357588749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567729155 | ||||||||
| FaxNumber: | 2567729154 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2022 | ||||||||
| LastUpdateDate: | 10/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2-1100 | AL | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | PTH10821 | AL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.