Provider Demographics
NPI:1992981468
Name:KLEINSCHMIT, LYNN M (PT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:KLEINSCHMIT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 OFFICE PARK DR STE 8
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-3830
Mailing Address - Country:US
Mailing Address - Phone:386-447-0011
Mailing Address - Fax:386-447-0161
Practice Address - Street 1:14 OFFICE PARK DR STE 8
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3830
Practice Address - Country:US
Practice Address - Phone:386-447-0011
Practice Address - Fax:386-447-0161
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT17660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist