Healthcare Provider Details

I. General information

NPI: 1447336466
Provider Name (Legal Business Name): LINDSEY ANN HYSJULIEN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CENTRAL AVE S
BEULAH ND
58523-6759
US

IV. Provider business mailing address

2625 N 19TH ST
BISMARCK ND
58503-0574
US

V. Phone/Fax

Practice location:
  • Phone: 701-222-3175
  • Fax: 701-222-3186
Mailing address:
  • Phone: 701-222-3175
  • Fax: 701-222-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number757
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: