Healthcare Provider Details

I. General information

NPI: 1275144065
Provider Name (Legal Business Name): LINDSAY KROLL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY WHITE

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

868 TIMBER DR
GARNER NC
27529-4850
US

IV. Provider business mailing address

PO BOX 306393
NASHVILLE TN
37230-6393
US

V. Phone/Fax

Practice location:
  • Phone: 984-789-3390
  • Fax: 984-833-5070
Mailing address:
  • Phone: 615-373-1350
  • Fax: 615-221-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP19817
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: