Provider Demographics
NPI:1386314128
Name:GREER, LINDSEY M (PTA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:GREER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7202 SHAVANO AVE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5887
Mailing Address - Country:US
Mailing Address - Phone:303-718-0678
Mailing Address - Fax:
Practice Address - Street 1:7202 SHAVANO AVE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80504-5887
Practice Address - Country:US
Practice Address - Phone:303-718-0678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012297225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant