Provider Demographics
NPI:1275330102
Name:ROGERS, LINDSEY RAYNELL (DPT PT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RAYNELL
Last Name:ROGERS
Suffix:
Gender:
Credentials:DPT PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 E WESMARK BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2020
Mailing Address - Country:US
Mailing Address - Phone:803-774-2781
Mailing Address - Fax:803-774-2782
Practice Address - Street 1:198 E WESMARK BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2020
Practice Address - Country:US
Practice Address - Phone:803-774-2781
Practice Address - Fax:803-774-2782
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12725225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist