Provider Demographics
NPI:1417355603
Name:SMITH, LINDSEY CATHERINE (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CATHERINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 COUNTY ROAD 544
Mailing Address - Street 2:
Mailing Address - City:VERBENA
Mailing Address - State:AL
Mailing Address - Zip Code:36091-3415
Mailing Address - Country:US
Mailing Address - Phone:205-389-2274
Mailing Address - Fax:
Practice Address - Street 1:40 WISTERIA PL
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1866
Practice Address - Country:US
Practice Address - Phone:334-285-0239
Practice Address - Fax:334-285-9689
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer