Provider Demographics
NPI:1336649508
Name:BIDLEMAN, LINDSEY (COTA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:BIDLEMAN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 GRAND AVE STE R
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7103
Mailing Address - Country:US
Mailing Address - Phone:406-652-3730
Mailing Address - Fax:
Practice Address - Street 1:2500 GRAND AVE STE R
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7103
Practice Address - Country:US
Practice Address - Phone:406-652-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4651224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant