Healthcare Provider Details

I. General information

NPI: 1003253790
Provider Name (Legal Business Name): LINDSEY MARIE CROOK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 10/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 W 6TH ST
NORTH BEND NE
68649-4430
US

IV. Provider business mailing address

PO BOX 211
DAVID CITY NE
68632-0211
US

V. Phone/Fax

Practice location:
  • Phone: 402-652-8201
  • Fax: 402-652-8202
Mailing address:
  • Phone: 402-652-8201
  • Fax: 402-652-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3223
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: