Provider Demographics
NPI:1992398192
Name:PYLES, LYNDSEY PENDER (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSEY
Middle Name:PENDER
Last Name:PYLES
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 1:442 E FRENCHMANS BEND RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-8852
Mailing Address - Country:US
Mailing Address - Phone:318-503-9789
Mailing Address - Fax:318-267-0131
Practice Address - Street 1:442 E FRENCHMANS BEND RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-8852
Practice Address - Country:US
Practice Address - Phone:318-503-9789
Practice Address - Fax:318-267-0131
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty