Healthcare Provider Details

I. General information

NPI: 1366957045
Provider Name (Legal Business Name): LINDSAY SUZANNE CALVERT ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N SENATE BLVD STE 535
INDIANAPOLIS IN
46202-1204
US

IV. Provider business mailing address

450 E OHIO ST APT 212
INDIANAPOLIS IN
46204-2677
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-9400
  • Fax:
Mailing address:
  • Phone: 317-944-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: