Provider Demographics
NPI:1205026606
Name:VASKE, LINDSEY SUE (CMT)
Entity Type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:SUE
Last Name:VASKE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 CLEVELAND AVE SW
Mailing Address - Street 2:#20
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3562
Mailing Address - Country:US
Mailing Address - Phone:507-360-2210
Mailing Address - Fax:
Practice Address - Street 1:590 CLEVELAND AVE SW
Practice Address - Street 2:#20
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-3562
Practice Address - Country:US
Practice Address - Phone:507-360-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist