Provider Demographics
NPI:1043650500
Name:MCCANN, LINDSAY KRISTEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:KRISTEN
Last Name:MCCANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 WALTER REED RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4448
Mailing Address - Country:US
Mailing Address - Phone:910-568-4614
Mailing Address - Fax:910-568-3013
Practice Address - Street 1:1613 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5928
Practice Address - Country:US
Practice Address - Phone:919-535-8758
Practice Address - Fax:919-535-3271
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28362225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist