Provider Demographics
NPI:1376950899
Name:MATVEY, LINDSEY
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:MATVEY
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 1:9988 WINDMILL LAKES BLVD
Mailing Address - Street 2:APT# 206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-3366
Mailing Address - Country:US
Mailing Address - Phone:972-533-3877
Mailing Address - Fax:
Practice Address - Street 1:9988 WINDMILL LAKES BLVD
Practice Address - Street 2:APT# 206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-3366
Practice Address - Country:US
Practice Address - Phone:972-533-3877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX#AT59572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer