MEDICARE: MRS. LINDSAY LEIGH WINKELS PT

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	1365	SD

General Provider Information

NPI Number	:	1730401720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSAY LEIGH WINKELS PT

Provider Business Mailing Address
First Line	:	7609 S AFTYN AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-6004
Country	:	US
Telephone Number	:	605-366-0355
Fax Number	:

Provider Business Practice Location Address
First Line	:	7609 S AFTYN AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-6004
Country	:	US
Telephone Number	:	605-366-0355
Fax Number	:

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

Provider Enumeration Date	:	02/18/2010
Last Update Date	:	02/18/2010

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