MEDICARE: MRS. LINDSAY BRANZEL DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT35062	CA

General Provider Information

NPI Number	:	1295984854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSAY BRANZEL DPT

Provider Business Mailing Address
First Line	:	3005 SKYLINE BLVD STE 140
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-5172
Country	:	US
Telephone Number	:	775-525-1982
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 SKYLINE BLVD STE 140
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509
Country	:	US
Telephone Number	:	775-525-1982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	07/16/2019

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