=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992628440
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY NICOLE LINDSEY LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1330 YMCA DR. SUITE# 800
-----------------------------------------------------
City | FESTUS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63028-1733
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-208-3285
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 115 WEST AVE
-----------------------------------------------------
City | FESTUS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63028-1733
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-208-3285
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 2021029453
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------