Provider Demographics
NPI:1083033096
Name:LINDQUIST, MARGARET CASEY (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CASEY
Last Name:LINDQUIST
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CASEY
Other - Last Name:HILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, ATC
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:9760 N ASH AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-9742
Practice Address - Country:US
Practice Address - Phone:816-792-0775
Practice Address - Fax:816-792-0776
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014021681225100000X
KS11-04899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA2868057OtherMEDICARE PTAN
50770019OtherBCBS-KC
MOMA4370078OtherMEDICARE PTAN
000434OtherOPTUM