Provider Demographics
NPI:1821580341
Name:CRAFT, LINDSEY
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:CRAFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 SASSAFRAS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SASSAFRAS
Mailing Address - State:KY
Mailing Address - Zip Code:41759-8810
Mailing Address - Country:US
Mailing Address - Phone:606-642-3411
Mailing Address - Fax:
Practice Address - Street 1:390 PARK AVE
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9548
Practice Address - Country:US
Practice Address - Phone:606-439-2306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist