Provider Demographics
NPI:1851103998
Name:GNEITING, LINDSAY MARIE (PTA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARIE
Last Name:GNEITING
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:MARIE
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2117 E PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-4629
Mailing Address - Country:US
Mailing Address - Phone:801-369-8431
Mailing Address - Fax:
Practice Address - Street 1:3943 E PONY EXPRESS PKWY STE 220
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-5545
Practice Address - Country:US
Practice Address - Phone:801-789-7333
Practice Address - Fax:801-789-7444
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14201476-2402225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant