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NPI Code Detail

MEDICARE: LINDSEY ROSE WILLIAMS PT

MEDICARE: LINDSEY ROSE WILLIAMS PT
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
1225100000XPhysical Therapist2005039926MO

General Provider Information

NPI Number : 1710057971
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY ROSE WILLIAMS PT
Provider Business Mailing Address
First Line : 18 PEAR BLOSSOM CT
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-4300
Country : US
Telephone Number : 636-244-0481
Fax Number :
Provider Business Practice Location Address
First Line : 2920 FEE FEE RD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-1915
Country : US
Telephone Number : 314-291-0121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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