Healthcare Provider Details

I. General information

NPI: 1013411644
Provider Name (Legal Business Name): LINDSEY ANN SHOW MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 E PARIS AVE SE STE 210
GRAND RAPIDS MI
49546-6190
US

IV. Provider business mailing address

2155 E PARIS AVE SE STE 210
GRAND RAPIDS MI
49546-6190
US

V. Phone/Fax

Practice location:
  • Phone: 616-655-1570
  • Fax: 616-655-1571
Mailing address:
  • Phone: 616-655-1570
  • Fax: 616-655-1571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number5201008751
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201008751
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: