Provider Demographics
NPI:1366681231
Name:HAYCRAFT, LINDSAY MARGARET (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:MARGARET
Last Name:HAYCRAFT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 LYNNWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-3101
Mailing Address - Country:US
Mailing Address - Phone:502-292-8722
Mailing Address - Fax:
Practice Address - Street 1:3009 LYNNWOOD WAY
Practice Address - Street 2:APT 2
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-3101
Practice Address - Country:US
Practice Address - Phone:502-292-8722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist