Provider Demographics
NPI:1801201165
Name:CHAMBERS, LINDSAY (MPT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-3327
Mailing Address - Country:US
Mailing Address - Phone:478-747-3659
Mailing Address - Fax:
Practice Address - Street 1:3119 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-3327
Practice Address - Country:US
Practice Address - Phone:478-747-3659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008303225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist