Provider Demographics
NPI:1235930934
Name:FLOWERS, CHARLES LINDBERGH III (LMT)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:LINDBERGH
Last Name:FLOWERS
Suffix:III
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HEDGE ROW LN
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-4357
Mailing Address - Country:US
Mailing Address - Phone:440-315-6763
Mailing Address - Fax:
Practice Address - Street 1:1225 RITNER HWY
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-9590
Practice Address - Country:US
Practice Address - Phone:717-609-0170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG016128225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist