Provider Demographics
NPI:1457407553
Name:MENNING, LYNDSEY A (MSPT)
Entity Type:Individual
Prefix:MS
First Name:LYNDSEY
Middle Name:A
Last Name:MENNING
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 N KING CHARLES CT
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2767
Mailing Address - Country:US
Mailing Address - Phone:847-421-8218
Mailing Address - Fax:847-984-1168
Practice Address - Street 1:1087 N KING CHARLES CT
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2767
Practice Address - Country:US
Practice Address - Phone:847-421-8218
Practice Address - Fax:847-984-1168
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070012785174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist