Provider Demographics
NPI:1578849675
Name:ANDERSON, LINDSAY DAWN (ATC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:DAWN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:DAWN
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:8031 TABOR ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-5206
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13355 W 80TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-2935
Practice Address - Country:US
Practice Address - Phone:303-982-5589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5762255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer