Provider Demographics
NPI:1144596990
Name:CALDWELL, LINDSEY (LMT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:CALDWELL
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 1:1125 MISSOULA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3830
Mailing Address - Country:US
Mailing Address - Phone:503-351-2025
Mailing Address - Fax:
Practice Address - Street 1:1125 MISSOULA AVE STE A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3830
Practice Address - Country:US
Practice Address - Phone:503-351-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6220225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT6220OtherMONTANA DEPARTMENT OF LABOR AND INDUSTRY
OR15205OtherOREGON BOARD OF MASSAGE THERAPY