Provider Demographics
NPI:1558600858
Name:GRAF, LINDSAY M (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:M
Last Name:GRAF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:14844 BLAKELY WAY
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-1547
Mailing Address - Country:US
Mailing Address - Phone:215-272-4013
Mailing Address - Fax:
Practice Address - Street 1:14844 BLAKELY WAY
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-1547
Practice Address - Country:US
Practice Address - Phone:215-272-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1225120225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1225120OtherPHYSICAL THERAPY LICENSE
TX192079501Medicaid