Healthcare Provider Details

I. General information

NPI: 1013350610
Provider Name (Legal Business Name): LINDSAY COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 04/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 US HIGHWAY 223
ADRIAN MI
49221-1242
US

IV. Provider business mailing address

162 N MCKENZIE ST
ADRIAN MI
49221-1904
US

V. Phone/Fax

Practice location:
  • Phone: 517-263-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: