Provider Demographics
NPI:1649340662
Name:DEERE, LINDSAY MICHELLE (PHYSICAL THERAPIST P)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:DEERE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1230 JOHNSON FERRY PL STE G10
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2045
Mailing Address - Country:US
Mailing Address - Phone:770-321-6705
Mailing Address - Fax:404-591-3891
Practice Address - Street 1:1230 JOHNSON FERRY PL STE G10
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2045
Practice Address - Country:US
Practice Address - Phone:770-321-6705
Practice Address - Fax:404-551-8891
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999137985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist