Provider Demographics
NPI:1982567970
Name:PIERCE, LINDSEY DAWN
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:DAWN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 N YORK ST STE H
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-1442
Mailing Address - Country:US
Mailing Address - Phone:918-912-2796
Mailing Address - Fax:918-513-5808
Practice Address - Street 1:1805 N YORK ST STE H
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-1442
Practice Address - Country:US
Practice Address - Phone:918-912-2796
Practice Address - Fax:919-513-5808
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2758224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty