Provider Demographics
NPI:1457611899
Name:LINDY, SHARON LEE (PT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEE
Last Name:LINDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 S CARROLL BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6025
Mailing Address - Country:US
Mailing Address - Phone:940-372-1072
Mailing Address - Fax:940-637-2694
Practice Address - Street 1:1100 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:TX
Practice Address - Zip Code:76272-7588
Practice Address - Country:US
Practice Address - Phone:940-372-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-19
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1042182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist