Provider Demographics
NPI:1962760173
Name:LINDSAY, PAMELA S (PTA)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1004 PROGRESS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-6326
Mailing Address - Country:US
Mailing Address - Phone:913-351-3838
Mailing Address - Fax:913-351-3939
Practice Address - Street 1:1004 PROGRESS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-6326
Practice Address - Country:US
Practice Address - Phone:913-351-3838
Practice Address - Fax:913-351-3939
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS11-01253225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant