Provider Demographics
NPI:1023392081
Name:LINDSAY, KATHRYN (PT)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:LINDSAY
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 1:1870 MARINA DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-6251
Mailing Address - Country:US
Mailing Address - Phone:970-674-6500
Mailing Address - Fax:970-674-6599
Practice Address - Street 1:1870 MARINA DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-6251
Practice Address - Country:US
Practice Address - Phone:970-674-6500
Practice Address - Fax:970-674-6599
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37959565Medicaid
CO37959565Medicaid