Provider Demographics
NPI:1417445412
Name:THRASHER-POLIZZI, LINDSAY (LMT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:THRASHER-POLIZZI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 IAN ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-6738
Mailing Address - Country:US
Mailing Address - Phone:971-276-2913
Mailing Address - Fax:
Practice Address - Street 1:29970 SW TOWN CENTER LOOP W
Practice Address - Street 2:SUITE C
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070
Practice Address - Country:US
Practice Address - Phone:503-625-8555
Practice Address - Fax:503-961-9977
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17599225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist