Provider Demographics
NPI:1164693875
Name:FOLK, LINDSAY NICOLE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:NICOLE
Last Name:FOLK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:NICHOLE
Other - Last Name:FRONTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3425 EXECUTIVE PKWY
Mailing Address - Street 2:SUITE 128
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1326
Mailing Address - Country:US
Mailing Address - Phone:419-537-0764
Mailing Address - Fax:
Practice Address - Street 1:3900 SUNFOREST CT
Practice Address - Street 2:SUITE 135
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4475
Practice Address - Country:US
Practice Address - Phone:419-479-7970
Practice Address - Fax:419-479-7077
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist