Healthcare Provider Details

I. General information

NPI: 1205269990
Provider Name (Legal Business Name): LINDSEY M WEEAST PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LINDSEY M. WILSON

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S CLEVELAND AVE
WESTERVILLE OH
43081-1397
US

IV. Provider business mailing address

6480 HARRISON AVE STE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-6555
  • Fax: 614-839-3281
Mailing address:
  • Phone: 513-795-4049
  • Fax: 513-354-7651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number014220
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: