Healthcare Provider Details

I. General information

NPI: 1811820574
Provider Name (Legal Business Name): SANDY SEEDHOM RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 VETERANS PKWY
MURFREESBORO TN
37128-6431
US

IV. Provider business mailing address

6825 KEW GDN
SMYRNA TN
37167-1290
US

V. Phone/Fax

Practice location:
  • Phone: 615-987-8958
  • Fax:
Mailing address:
  • Phone: 615-336-2298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-451146
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: