Provider Demographics
NPI:1033470026
Name:BLECHLE, LINDSEY MARIE (MOT, OTR)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MARIE
Last Name:BLECHLE
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:MARIE
Other - Last Name:SCOLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2706 EDINBURGH ST
Mailing Address - Street 2:APT. A8
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2267
Mailing Address - Country:US
Mailing Address - Phone:636-667-3210
Mailing Address - Fax:
Practice Address - Street 1:611 KORTE PARKWAY
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501
Practice Address - Country:US
Practice Address - Phone:303-776-1373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3284225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist