# WOODLANDS SPINE & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275427189
- **Authorized official:** REBECCA A SANDEFUR (CEO)
- **Authorized official phone:** (281) 362-0006

## Contact information

- **Practice address:** 3101 COLLEGE PARK DR, CONROE, TX 77384-4099
- **Practice address phone:** (281) 650-3036
- **Practice address fax:** (281) 362-0233
- **Mailing address:** 3101 COLLEGE PARK DR, CONROE, TX 77384-4099
- **Mailing address phone:** (281) 650-3036
- **Mailing address fax:** (281) 362-0233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/05/2025
- **Last updated:** 06/05/2025