Provider Demographics
NPI:1063591741
Name:KNOWLES, LINDSEY (PT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 COLLIER RD NW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2532
Mailing Address - Country:US
Mailing Address - Phone:404-419-7760
Mailing Address - Fax:404-351-3977
Practice Address - Street 1:857 COLLIER RD NW
Practice Address - Street 2:SUITE 1
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2532
Practice Address - Country:US
Practice Address - Phone:404-419-7760
Practice Address - Fax:404-351-3977
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist