Basic Information
Provider Information
NPI: 1396051280
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDSAY
FirstName: SARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherLastNameType:  
Mailing Information
Address1: 2400 PATTERSON ST STE 100
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372032385
CountryCode: US
TelephoneNumber: 6153420038
FaxNumber:  
Practice Location
Address1: 110 SAINT BLAISE RD STE 101
Address2:  
City: GALLATIN
State: TN
PostalCode: 370664442
CountryCode: US
TelephoneNumber: 6154420400
FaxNumber: 6154420401
Other Information
ProviderEnumerationDate: 08/30/2010
LastUpdateDate: 02/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X8757TNY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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