Provider Demographics
NPI:1225703507
Name:ENGELKE, LINDSAY ELIZABETH (DACM, MSTOM, BS, LMT)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ELIZABETH
Last Name:ENGELKE
Suffix:
Gender:F
Credentials:DACM, MSTOM, BS, LMT
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:ELIZABETH
Other - Last Name:GEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSTOM, BS, LMT
Mailing Address - Street 1:1218 VILAS AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1550
Mailing Address - Country:US
Mailing Address - Phone:608-347-7087
Mailing Address - Fax:
Practice Address - Street 1:8202 EXCELSIOR DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1906
Practice Address - Country:US
Practice Address - Phone:608-662-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10402-146225700000X
WI687-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist