Provider Demographics
NPI:1760727051
Name:BARRETT, LINDSIE NICOLE (ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSIE
Middle Name:NICOLE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 RENAISSANCE POINTE
Mailing Address - Street 2:305
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3547
Mailing Address - Country:US
Mailing Address - Phone:407-461-3187
Mailing Address - Fax:
Practice Address - Street 1:4200 DIKE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-6399
Practice Address - Country:US
Practice Address - Phone:407-746-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL33452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer