Provider Demographics
NPI:1447224977
Name:WATSON, LINDSEY ANN (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:ANN
Last Name:WATSON
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2246 S BECK LN
Mailing Address - Street 2:APT. 207
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-2862
Mailing Address - Country:US
Mailing Address - Phone:512-818-4811
Mailing Address - Fax:
Practice Address - Street 1:900 N UNIVERSITY DR
Practice Address - Street 2:MACKEY ARENA, ROOM B60
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47907
Practice Address - Country:US
Practice Address - Phone:765-494-9622
Practice Address - Fax:765-494-9899
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36001267A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer