Provider Demographics
NPI:1154835882
Name:PARRISH, LINDSAY NICOLE (MAT, ATC, LAT)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:NICOLE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MAT, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14453 DESERT SAGE DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-6554
Mailing Address - Country:US
Mailing Address - Phone:806-241-0721
Mailing Address - Fax:
Practice Address - Street 1:13000 EMERALD PASS AVE
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-7295
Practice Address - Country:US
Practice Address - Phone:915-937-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT56332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer