Healthcare Provider Details

I. General information

NPI: 1659296861
Provider Name (Legal Business Name): ALEX WARNER LINDSEY PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3051 S 6TH ST
KLAMATH FALLS OR
97603-4609
US

IV. Provider business mailing address

3051 S 6TH ST
KLAMATH FALLS OR
97603-4609
US

V. Phone/Fax

Practice location:
  • Phone: 541-884-1865
  • Fax:
Mailing address:
  • Phone: 541-884-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number66148
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: