Provider Demographics
NPI:1295937274
Name:LINDSAY, RONALD G (PTA)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:G
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 DUNCANVILLE RD
Mailing Address - Street 2:APT # 2058
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-7401
Mailing Address - Country:US
Mailing Address - Phone:512-228-4179
Mailing Address - Fax:
Practice Address - Street 1:2918 DUNCANVILLE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-7407
Practice Address - Country:US
Practice Address - Phone:512-228-4179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2037778225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant