Provider Demographics
NPI:1548341381
Name:LINDSAY, PATRICIA RILEY (LMP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:RILEY
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1062
Mailing Address - Street 2:
Mailing Address - City:SUQUAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98392-1062
Mailing Address - Country:US
Mailing Address - Phone:360-697-2006
Mailing Address - Fax:
Practice Address - Street 1:20610 MAINLAND VIEW LN NE
Practice Address - Street 2:
Practice Address - City:SUQUAMISH
Practice Address - State:WA
Practice Address - Zip Code:98392-9742
Practice Address - Country:US
Practice Address - Phone:360-697-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00006352225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist