Provider Demographics
NPI:1851598460
Name:DREILING, LINDSEY MAREE (PT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MAREE
Last Name:DREILING
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 1:314 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1679
Mailing Address - Country:US
Mailing Address - Phone:785-625-5697
Mailing Address - Fax:
Practice Address - Street 1:315 S ASH ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:KS
Practice Address - Zip Code:67669-2136
Practice Address - Country:US
Practice Address - Phone:785-425-6109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist