Provider Demographics
NPI:1437517133
Name:GOTTARDY, LINDSEY DENISE (PT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:DENISE
Last Name:GOTTARDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:DENISE
Other - Last Name:DYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6001 WINDHAVEN
Mailing Address - Street 2:#210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-473-8980
Mailing Address - Fax:972-212-6851
Practice Address - Street 1:6101 WINDHAVEN PKWY STE 145
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8198
Practice Address - Country:US
Practice Address - Phone:972-473-8980
Practice Address - Fax:972-212-6851
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271172225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist