Provider Demographics
NPI:1679817910
Name:KNOX, LINDSEY JANET (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JANET
Last Name:KNOX
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:JANET
Other - Last Name:KIHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10505 19TH AVE SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4280
Mailing Address - Country:US
Mailing Address - Phone:405-870-0510
Mailing Address - Fax:408-945-4018
Practice Address - Street 1:9514 4TH ST NE
Practice Address - Street 2:#101
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-1937
Practice Address - Country:US
Practice Address - Phone:425-397-2327
Practice Address - Fax:425-377-0283
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60412902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8924730Medicare PIN