Healthcare Provider Details

I. General information

NPI: 1093944829
Provider Name (Legal Business Name): LINDSEY N FIELDS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 ALBANY RD
LEXINGTON KY
40503-2626
US

IV. Provider business mailing address

352 ALBANY RD
LEXINGTON KY
40503-2626
US

V. Phone/Fax

Practice location:
  • Phone: 502-551-5604
  • Fax:
Mailing address:
  • Phone: 502-551-5604
  • Fax: 502-437-0624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT005390
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: