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NPI Code Detail

MEDICARE: LINDSEY MEYERS DPT

MEDICARE: LINDSEY MEYERS 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
1225100000XPhysical Therapist070-017432IL

General Provider Information

NPI Number : 1982938916
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY MEYERS DPT
Provider Business Mailing Address
First Line : 280 N RANDALL RD
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-5903
Country : US
Telephone Number : 847-854-8219
Fax Number : 847-854-8278
Provider Business Practice Location Address
First Line : 1783 N RICHMOND RD
Second Line :
City : MCHENRY
State : IL
Zip : 60051-5413
Country : US
Telephone Number : 815-385-0730
Fax Number : 815-385-0572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 08/03/2011

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Directions to “ LINDSEY MEYERS DPT” Practice Location

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