Provider Demographics
NPI:1487353835
Name:OWENS, LYNDSEY RAE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:RAE
Last Name:OWENS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 GLOBE MILLS AVE UNIT 215
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-1482
Mailing Address - Country:US
Mailing Address - Phone:918-404-4001
Mailing Address - Fax:
Practice Address - Street 1:7985 E 16TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-2896
Practice Address - Country:US
Practice Address - Phone:833-952-2509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP21920225100000X
AK205312225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist