Provider Demographics
NPI:1043803091
Name:WILHITE, LINDSEY A (LMT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:WILHITE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 W 29TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-3032
Mailing Address - Country:US
Mailing Address - Phone:720-739-0745
Mailing Address - Fax:720-485-3613
Practice Address - Street 1:4433 W 29TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-3032
Practice Address - Country:US
Practice Address - Phone:720-739-0745
Practice Address - Fax:720-485-3613
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT.0016768225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist