Healthcare Provider Details

I. General information

NPI: 1528985199
Provider Name (Legal Business Name): MRS. LINDSAY PARKER THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 ARBORETUM LN
GREENVILLE SC
29617-6228
US

IV. Provider business mailing address

1736 ROXANNE SUE DR
LYMAN SC
29365
US

V. Phone/Fax

Practice location:
  • Phone: 803-917-7673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number6968
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: