Healthcare Provider Details

I. General information

NPI: 1962037580
Provider Name (Legal Business Name): WIGGLE STRONG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 E MAIN ST STE B
WASHINGTON IN
47501-2909
US

IV. Provider business mailing address

1606 MEMORIAL AVE
WASHINGTON IN
47501-3118
US

V. Phone/Fax

Practice location:
  • Phone: 812-698-0085
  • Fax: 812-741-4220
Mailing address:
  • Phone: 812-698-0085
  • Fax: 812-741-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY LENGACHER
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 812-698-0085