Healthcare Provider Details

I. General information

NPI: 1225703507
Provider Name (Legal Business Name): LINDSAY ELIZABETH ENGELKE DACM, MSTOM, BS, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY ELIZABETH GEIER MSTOM, BS, LMT

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 08/10/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 EXCELSIOR DR
MADISON WI
53717-1906
US

IV. Provider business mailing address

1218 VILAS AVE
MADISON WI
53715-1550
US

V. Phone/Fax

Practice location:
  • Phone: 608-662-5090
  • Fax:
Mailing address:
  • Phone: 608-347-7087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number687-055
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10402-146
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: