MEDICARE: LINDSAY M. BRAUN PT, DPT

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	14160	CO
2	225100000X	Physical Therapist	24245	MA
3	225100000X	Physical Therapist	P16347	NC

General Provider Information

NPI Number	:	1700234549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY M. BRAUN PT, DPT

Provider Business Mailing Address
First Line	:	437 S WADSWORTH BLVD UNIT G
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3134
Country	:	US
Telephone Number	:	303-274-7310
Fax Number	:	720-497-6705

Provider Business Practice Location Address
First Line	:	437 S WADSWORTH BLVD UNIT G
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3134
Country	:	US
Telephone Number	:	303-274-7310
Fax Number	:	720-497-6705

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

Provider Enumeration Date	:	06/02/2016
Last Update Date	:	04/08/2022

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