Provider Demographics
NPI:1740812254
Name:MYERS, LINDSAY CHAUTIN (MOT, OTR)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:CHAUTIN
Last Name:MYERS
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 DEVILLIER RD
Mailing Address - Street 2:
Mailing Address - City:ARNAUDVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70512-5109
Mailing Address - Country:US
Mailing Address - Phone:337-945-3821
Mailing Address - Fax:
Practice Address - Street 1:954 E PRUDHOMME ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-8239
Practice Address - Country:US
Practice Address - Phone:337-948-3634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist