Provider Demographics
NPI:1700195880
Name:WILLIAMS, LINDSAY ROBERTS (PT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ROBERTS
Last Name:WILLIAMS
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 1:1521 THACKERY LN
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-1871
Mailing Address - Country:US
Mailing Address - Phone:469-207-0051
Mailing Address - Fax:
Practice Address - Street 1:158 AZTEC LN # 104
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-3451
Practice Address - Country:US
Practice Address - Phone:469-256-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1225179225100000X
FL22468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist