Organization Name: | RANDY L LINDSEY PT AT C INC PS COLVILLE PHYSICAL THERAPY |
NPI Number: | 1558536615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY L LINDSEY (OWNER) |
Mailing Address: | 390351 Hwy 20 Cusick |
State: | WA US |
Postal Code: | 99119 |
Phone Number: | 5096845027 |
Fax Number: | 5096841033 |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 07/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |