Provider Demographics
NPI:1245785807
Name:ROPER, LYNDSEY ALANA (DPT)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:ALANA
Last Name:ROPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:ALANA
Other - Last Name:MARKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 E 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3785
Mailing Address - Country:US
Mailing Address - Phone:541-653-9696
Mailing Address - Fax:
Practice Address - Street 1:90 E 27TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3785
Practice Address - Country:US
Practice Address - Phone:541-653-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist