Provider Demographics
NPI:1972963775
Name:MEDINA, LINDSEY (PT, DPT, C/NDT)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:MEDINA
Suffix:
Gender:F
Credentials:PT, DPT, C/NDT
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:LOWTHORP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25619 CANYON SANDS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-4351
Mailing Address - Country:US
Mailing Address - Phone:903-918-9282
Mailing Address - Fax:832-201-8800
Practice Address - Street 1:25619 CANYON SANDS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-4351
Practice Address - Country:US
Practice Address - Phone:903-918-9282
Practice Address - Fax:832-201-8800
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11977212251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics