Provider Demographics
NPI:1033343033
Name:MYERS, LYNDSAY KAYE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:KAYE
Last Name:MYERS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LYNDSAY
Other - Middle Name:KAYE
Other - Last Name:SCHUHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:109 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MO
Practice Address - Zip Code:64735-2007
Practice Address - Country:US
Practice Address - Phone:660-383-1284
Practice Address - Fax:660-383-1285
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04366225100000X
MO2009028469225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
43060039OtherBCBS KC
MOMA4370042OtherMEDICARE PTAN
MOK86000005Medicare PIN