Provider Demographics
NPI:1376026807
Name:MAY, LYNDSEY JEAN
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:JEAN
Last Name:MAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E NORTH FRONT ST
Mailing Address - Street 2:
Mailing Address - City:FROST
Mailing Address - State:TX
Mailing Address - Zip Code:76641-3412
Mailing Address - Country:US
Mailing Address - Phone:903-229-0071
Mailing Address - Fax:
Practice Address - Street 1:3650 S.INTERSTATE 35-E
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:972-937-7320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212866224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant