Provider Demographics
NPI:1881833622
Name:BRAY, LINDSAY JANETTE (MPRTM, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JANETTE
Last Name:BRAY
Suffix:
Gender:F
Credentials:MPRTM, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 HEALTH PARK STE 107
Mailing Address - Street 2:THE AMERICAN INSTITUTE OF HEALTHCARE AND FITNESS
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-4731
Mailing Address - Country:US
Mailing Address - Phone:919-238-2000
Mailing Address - Fax:
Practice Address - Street 1:8300 HEALTH PARK STE 107
Practice Address - Street 2:THE AMERICAN INSTITUTE OF HEALTHCARE AND FITNESS
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-4731
Practice Address - Country:US
Practice Address - Phone:919-238-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09632255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer