MEDICARE: SLOAN WILLIAMS ALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT011909	GA
2	225100000X	Physical Therapist	11524	TN

General Provider Information

NPI Number	:	1225418064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SLOAN WILLIAMS ALLEN

Provider Business Mailing Address
First Line	:	5720 SANFORD RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-2124
Country	:	US
Telephone Number	:	678-983-1763
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 SANFORD RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-2124
Country	:	US
Telephone Number	:	678-983-1763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2015
Last Update Date	:	07/21/2022

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Directions to “ SLOAN WILLIAMS ALLEN ” Practice Location

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