Provider Demographics
NPI:1255785275
Name:MARTS, LINDSEY (MT-BC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:MARTS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8809 GRANDVIEW ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3643
Mailing Address - Country:US
Mailing Address - Phone:913-709-9687
Mailing Address - Fax:
Practice Address - Street 1:8809 GRANDVIEW ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3643
Practice Address - Country:US
Practice Address - Phone:913-709-9687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities