Provider Demographics
NPI:1326518457
Name:ROZINSKI, LINDSEY J (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:J
Last Name:ROZINSKI
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W237S8015 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BIG BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53103-9613
Mailing Address - Country:US
Mailing Address - Phone:262-309-4655
Mailing Address - Fax:
Practice Address - Street 1:W237S8015 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:BIG BEND
Practice Address - State:WI
Practice Address - Zip Code:53103-9613
Practice Address - Country:US
Practice Address - Phone:262-309-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-02
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1750-392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer