Provider Demographics
NPI:1356735427
Name:ATKINS, LINSEY L (PTA)
Entity type:Individual
Prefix:
First Name:LINSEY
Middle Name:L
Last Name:ATKINS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:LINSEY
Other - Middle Name:L
Other - Last Name:WIMSATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KS
Mailing Address - Zip Code:67301-3511
Mailing Address - Country:US
Mailing Address - Phone:620-331-0999
Mailing Address - Fax:620-331-1605
Practice Address - Street 1:200 W DOUGLAS AVE
Practice Address - Street 2:STE 1040
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3013
Practice Address - Country:US
Practice Address - Phone:316-263-0003
Practice Address - Fax:316-263-1241
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-02622225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant