Provider Demographics
NPI:1437583945
Name:OTTENSMEIER, LINDSEY MARIE (CPTA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARIE
Last Name:OTTENSMEIER
Suffix:
Gender:F
Credentials:CPTA
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:MARIE
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPTA
Mailing Address - Street 1:3715 SW 29TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2111
Mailing Address - Country:US
Mailing Address - Phone:913-565-9030
Mailing Address - Fax:
Practice Address - Street 1:3715 SW 29TH ST STE 100
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2111
Practice Address - Country:US
Practice Address - Phone:913-565-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1402282225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant