Provider Demographics
NPI:1477602688
Name:COLLEY, LINDSAY MICHELLE (PT, MSPT)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:COLLEY
Suffix:
Gender:F
Credentials:PT, MSPT
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:COILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2555 PHILLIPS FIELD ROAD SUITE 202
Mailing Address - Street 2:WILLOW PHYSICAL THERAPY
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3933
Mailing Address - Country:US
Mailing Address - Phone:907-456-5990
Mailing Address - Fax:907-456-7418
Practice Address - Street 1:15 TOWN WEST RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3428
Practice Address - Country:US
Practice Address - Phone:603-744-0275
Practice Address - Fax:603-744-9378
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist