Healthcare Provider Details

I. General information

NPI: 1922394014
Provider Name (Legal Business Name): LINDSEY RAE SARKILAHTI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 18TH AVE E
ALEXANDRIA MN
56308-2511
US

IV. Provider business mailing address

4470 NW IRENE LN NE
PARKERS PRAIRIE MN
56361-8146
US

V. Phone/Fax

Practice location:
  • Phone: 320-762-6079
  • Fax: 320-762-6123
Mailing address:
  • Phone: 170-136-7439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1549
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: