Provider Demographics
NPI:1386932465
Name:KNUTH, LINDSAY RADKO (AUD)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:RADKO
Last Name:KNUTH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:DAWN
Other - Last Name:RADKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2520 ABERDEEN BLVD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0635
Mailing Address - Country:US
Mailing Address - Phone:704-868-8400
Mailing Address - Fax:704-868-8493
Practice Address - Street 1:2520 ABERDEEN BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0635
Practice Address - Country:US
Practice Address - Phone:704-868-8400
Practice Address - Fax:704-868-8493
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9510237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist