Healthcare Provider Details

I. General information

NPI: 1346927449
Provider Name (Legal Business Name): LINDSAY HALL MOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 PROFESSIONAL PLZ
GERMANTOWN TN
38138-1515
US

IV. Provider business mailing address

1656 NOTTINGHAM DR
SOUTHAVEN MS
38671-9302
US

V. Phone/Fax

Practice location:
  • Phone: 901-328-2110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number7669
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: