Healthcare Provider Details
I. General information
NPI: 1265485809
Provider Name (Legal Business Name): LINDSAY THERAPY SERVICES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
535 MARSAILLES DR
VERSAILLES KY
40383-1911
US
IV. Provider business mailing address
535 MARSAILLES DR
VERSAILLES KY
40383
US
V. Phone/Fax
- Phone: 859-879-3560
- Fax:
- Phone: 859-879-3560
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BETH
U
COON
Title or Position: PRESIDENT
Credential: PT, DPT, CHT
Phone: 859-879-3560