Provider Demographics
NPI:1629847041
Name:LINDSEY DUNKLE, OTR/L, CLT, LLC
Entity Type:Organization
Organization Name:LINDSEY DUNKLE, OTR/L, CLT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:DUNKLE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CLT
Authorized Official - Phone:214-772-3623
Mailing Address - Street 1:4430 JENKINS ST
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3133
Mailing Address - Country:US
Mailing Address - Phone:214-772-3623
Mailing Address - Fax:
Practice Address - Street 1:4430 JENKINS ST
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-3133
Practice Address - Country:US
Practice Address - Phone:214-772-3623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation