Provider Demographics
NPI:1316270713
Name:LINDSAY, WENDY LOU (CMT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LOU
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 E JAMES ST
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:MN
Mailing Address - Zip Code:55731-1531
Mailing Address - Country:US
Mailing Address - Phone:218-365-0809
Mailing Address - Fax:
Practice Address - Street 1:105 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-2521
Practice Address - Country:US
Practice Address - Phone:218-741-5610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist