Provider Demographics
NPI:1518230382
Name:JOHNSON, LINDSAY ANN (LMT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 MONTANA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2326
Mailing Address - Country:US
Mailing Address - Phone:406-671-4925
Mailing Address - Fax:406-294-4324
Practice Address - Street 1:2501 MONTANA AVE STE 3
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2326
Practice Address - Country:US
Practice Address - Phone:406-671-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1343225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist