Provider Demographics
NPI:1689347254
Name:LEXINGTON PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:LEXINGTON PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-359-8700
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48450-0416
Mailing Address - Country:US
Mailing Address - Phone:810-359-8700
Mailing Address - Fax:810-359-8702
Practice Address - Street 1:5590 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MI
Practice Address - Zip Code:48450-9383
Practice Address - Country:US
Practice Address - Phone:810-359-8700
Practice Address - Fax:810-359-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty