Provider Demographics
NPI:1942539093
Name:PRIEST, LINDSAY SMITH (OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:SMITH
Last Name:PRIEST
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 UNION CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39653-8336
Mailing Address - Country:US
Mailing Address - Phone:601-384-8100
Mailing Address - Fax:601-384-3196
Practice Address - Street 1:40 UNION CHURCH RD
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:MS
Practice Address - Zip Code:39653-8336
Practice Address - Country:US
Practice Address - Phone:601-384-8100
Practice Address - Fax:601-384-3196
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT2213225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist