Healthcare Provider Details

I. General information

NPI: 1669002705
Provider Name (Legal Business Name): LINDSAY FOSTER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13080 BIG ROCK LN
ROCKVILLE VA
23146-1546
US

IV. Provider business mailing address

PO BOX 459
ROCKVILLE VA
23146-0459
US

V. Phone/Fax

Practice location:
  • Phone: 804-366-5001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019010320
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: