Provider Demographics
NPI:1023742434
Name:GIMM, LINDSEY M (BS, DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:M
Last Name:GIMM
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52804-2823
Mailing Address - Country:US
Mailing Address - Phone:563-271-0792
Mailing Address - Fax:
Practice Address - Street 1:4479 53RD AVE
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1300
Practice Address - Country:US
Practice Address - Phone:563-723-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA115693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor