MEDICARE: LINDSAY ANNE THURSTON 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1588866925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ANNE THURSTON DPT

Provider Business Mailing Address
First Line	:	3706 LONGSHIP PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5829
Country	:	US
Telephone Number	:	401-529-6243
Fax Number	:

Provider Business Practice Location Address
First Line	:	3706 LONGSHIP PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5829
Country	:	US
Telephone Number	:	401-529-6243
Fax Number	:

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	08/29/2007

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