Provider Demographics
NPI:1538704473
Name:BROWN, LINDSEY K (PTA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 MEDICAL CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-8609
Mailing Address - Country:US
Mailing Address - Phone:870-845-8161
Mailing Address - Fax:870-845-8284
Practice Address - Street 1:132 MEDICAL CIR STE 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-8609
Practice Address - Country:US
Practice Address - Phone:870-845-8161
Practice Address - Fax:870-845-8284
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4308225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant