Provider Demographics
NPI:1508255894
Name:ASUNCION, LYNZIE GRACE (PT, DPT, AIB-VRC)
Entity Type:Individual
Prefix:
First Name:LYNZIE GRACE
Middle Name:
Last Name:ASUNCION
Suffix:
Gender:F
Credentials:PT, DPT, AIB-VRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 E COUNTRY AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1581
Mailing Address - Country:US
Mailing Address - Phone:559-756-6136
Mailing Address - Fax:
Practice Address - Street 1:1134 E COUNTRY AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-1581
Practice Address - Country:US
Practice Address - Phone:559-756-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4475225100000X
CAPT296848225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist