Provider Demographics
NPI:1568866994
Name:LUINSTRA, LINDSA
Entity Type:Individual
Prefix:MS
First Name:LINDSA
Middle Name:
Last Name:LUINSTRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:CAMERON
Other - Last Name:LUINSTRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATC
Mailing Address - Street 1:300 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67117-8061
Mailing Address - Country:US
Mailing Address - Phone:316-284-5384
Mailing Address - Fax:
Practice Address - Street 1:300 E 27TH ST
Practice Address - Street 2:
Practice Address - City:NORTH NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67117-8061
Practice Address - Country:US
Practice Address - Phone:316-284-5384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-008202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer