Provider Demographics
NPI:1194065029
Name:PHILPOTT, LINDSEY (DC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:PHILPOTT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 SE 11TH WAY
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-8924
Mailing Address - Country:US
Mailing Address - Phone:360-721-6368
Mailing Address - Fax:
Practice Address - Street 1:703 BROADWAY ST
Practice Address - Street 2:SUITE 650
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3276
Practice Address - Country:US
Practice Address - Phone:360-690-0081
Practice Address - Fax:360-690-0083
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60257333225700000X
WACH61516760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist