Provider Demographics
NPI:1265485809
Name:LINDSAY THERAPY SERVICES, PSC
Entity Type:Organization
Organization Name:LINDSAY THERAPY SERVICES, PSC
Other - Org Name:VERSAILLES PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:U
Authorized Official - Last Name:COON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CHT
Authorized Official - Phone:859-879-3560
Mailing Address - Street 1:535 MARSAILLES DR
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383
Mailing Address - Country:US
Mailing Address - Phone:859-879-3560
Mailing Address - Fax:
Practice Address - Street 1:535 MARSAILLES DR
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1911
Practice Address - Country:US
Practice Address - Phone:859-879-3560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000492197OtherBCBS
KY611938100OtherUS DEPT OF LABOR WC
KY7311873OtherAETNA
KY611938100OtherUS DEPT OF LABOR WC
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