MEDICARE: LINDSEY MAIER PT, 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	12731	TN

General Provider Information

NPI Number	:	1851082838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY MAIER PT, DPT

Provider Business Mailing Address
First Line	:	5911 HILLCREST DR
Second Line	:
City	:	HARRISON
State	:	TN
Zip	:	37341-9578
Country	:	US
Telephone Number	:	906-201-0577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 KEITH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4336
Country	:	US
Telephone Number	:	423-339-1492
Fax Number	:

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

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	05/18/2023

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