Provider Demographics
NPI:1467476739
Name:SAVAGE, LINDSEY JO (PT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JO
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:JO
Other - Last Name:FAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:365 US ROUTE 4 E
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-9035
Mailing Address - Country:US
Mailing Address - Phone:802-855-8068
Mailing Address - Fax:802-855-8436
Practice Address - Street 1:1 SCALE AVE BLDG 18
Practice Address - Street 2:SUITE 32
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4452
Practice Address - Country:US
Practice Address - Phone:802-558-4051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400003601225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
7247681OtherAETNA
00068255OtherBCBS OF VT
VT1010821Medicaid
782958OtherMVP
7247681OtherAETNA