Provider Demographics
NPI:1639805559
Name:THURSTON, LINDSEY GABRIELLE
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:GABRIELLE
Last Name:THURSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2465
Mailing Address - Country:US
Mailing Address - Phone:720-417-4541
Mailing Address - Fax:
Practice Address - Street 1:4670 TABLE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-1602
Practice Address - Country:US
Practice Address - Phone:303-279-6000
Practice Address - Fax:303-279-7799
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant