Provider Demographics
NPI:1447330816
Name:LINDSEY, DAVID ERIC (PT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ERIC
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 REDCLIFF DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0157
Mailing Address - Country:US
Mailing Address - Phone:530-246-2467
Mailing Address - Fax:530-246-2229
Practice Address - Street 1:405 REDCLIFF DR
Practice Address - Street 2:SUITE 100
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0157
Practice Address - Country:US
Practice Address - Phone:530-246-2467
Practice Address - Fax:530-246-2229
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT23910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT239100Medicare ID - Type Unspecified