Provider Demographics
NPI:1326610460
Name:PFARR, LINDSEY KRISTINE SMITS (OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KRISTINE SMITS
Last Name:PFARR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:KRISTINE
Other - Last Name:SMITS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 SAINT ANDREWS CT STE 310
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8805
Mailing Address - Country:US
Mailing Address - Phone:507-388-5437
Mailing Address - Fax:
Practice Address - Street 1:150 SAINT ANDREWS CT STE 310
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8805
Practice Address - Country:US
Practice Address - Phone:507-388-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106434225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist