| Doctor Name: | BRYAN J LIND |
| NPI Number: | 1407878689 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2004020795 |
| Business Practice Address: | 15884 Manchester Rd Ellisville, MO - 630112208 |
| Business Phone Number: | 6363915400 |
| Business Fax Number: | 6363949674 |
| Mailing Address: | 13537 Barrett Parkway Dr, Suite 105 BALLWIN |
| State: | MO |
| Postal Code: | 630215899 |
| Phone Number: | 3148219126 |
| Fax Number: | 3148219142 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2004020795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |