Healthcare Provider Details

I. General information

NPI: 1336540335
Provider Name (Legal Business Name): LINDSEY ANNA DAHLSTROM PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 3RD AVE NW
AUSTIN MN
55912-2378
US

IV. Provider business mailing address

1503 18TH AVE SW
AUSTIN MN
55912-2700
US

V. Phone/Fax

Practice location:
  • Phone: 507-460-1700
  • Fax:
Mailing address:
  • Phone: 320-223-2048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number9711
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: