Provider Demographics
NPI:1609966167
Name:LINDSEY, SUSAN DEWITT (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:DEWITT
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 RALPH AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-5506
Mailing Address - Country:US
Mailing Address - Phone:216-739-0687
Mailing Address - Fax:
Practice Address - Street 1:8041 STEVEN DAVID DR
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-1014
Practice Address - Country:US
Practice Address - Phone:440-572-2737
Practice Address - Fax:440-572-7616
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH002570225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist