Provider Demographics
NPI:1184092215
Name:WILLIAMSON, LINDSAY N (ATC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:N
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5641 BIRDIE LN
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-0900
Mailing Address - Country:US
Mailing Address - Phone:440-339-7450
Mailing Address - Fax:
Practice Address - Street 1:5641 BIRDIE LN
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-0900
Practice Address - Country:US
Practice Address - Phone:440-339-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-06
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program