Provider Demographics
NPI:1619370483
Name:LINDSEY KERK PHYSICAL THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:LINDSEY KERK PHYSICAL THERAPY SERVICES, LLC
Other - Org Name:BODY MECHANICS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:920-728-1671
Mailing Address - Street 1:2450 RIMROCK RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2799
Mailing Address - Country:US
Mailing Address - Phone:920-728-1671
Mailing Address - Fax:
Practice Address - Street 1:2450 RIMROCK RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2799
Practice Address - Country:US
Practice Address - Phone:920-728-1671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI267524261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy