Provider Demographics
NPI:1518133024
Name:DOERING, LINDSAY MICHELLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:DOERING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:MICHELLE
Other - Last Name:DOERING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:9909 TOPANGA CANYON BLVD # 335
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3602
Mailing Address - Country:US
Mailing Address - Phone:310-455-4019
Mailing Address - Fax:
Practice Address - Street 1:9909 TOPANGA CANYON BLVD # 335
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3602
Practice Address - Country:US
Practice Address - Phone:310-455-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist