Provider Demographics
NPI:1669905808
Name:AGEE, LINDSEY (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:AGEE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:IBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3017 N STILES AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-2808
Mailing Address - Country:US
Mailing Address - Phone:405-271-9477
Mailing Address - Fax:
Practice Address - Street 1:3017 N STILES AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-2808
Practice Address - Country:US
Practice Address - Phone:405-271-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1574225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist