Provider Demographics
NPI:1386136414
Name:STILWELL, LYNSI FRANCES
Entity type:Individual
Prefix:
First Name:LYNSI
Middle Name:FRANCES
Last Name:STILWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 BARKER CYPRESS RD STE 108B
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7886
Mailing Address - Country:US
Mailing Address - Phone:281-371-6884
Mailing Address - Fax:346-380-4789
Practice Address - Street 1:9740 BARKER CYPRESS RD STE 108B
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7886
Practice Address - Country:US
Practice Address - Phone:281-371-6864
Practice Address - Fax:346-380-4739
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1304167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1304167OtherPT LICENSE