Provider Demographics
NPI:1144422874
Name:LINDSEY, ELLEN H (OT)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:H
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GREYMORE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3338
Mailing Address - Country:US
Mailing Address - Phone:314-469-1374
Mailing Address - Fax:314-469-1374
Practice Address - Street 1:12 GREYMORE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3338
Practice Address - Country:US
Practice Address - Phone:314-469-1374
Practice Address - Fax:314-469-1374
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002476224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant