Provider Demographics
NPI:1700284361
Name:BELLIVEAU, LINDSEY FRANCES (PT)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:FRANCES
Last Name:BELLIVEAU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 OVERLOOK BLVD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-1413
Mailing Address - Country:US
Mailing Address - Phone:406-443-1122
Mailing Address - Fax:406-443-1144
Practice Address - Street 1:2748 COLONIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4947
Practice Address - Country:US
Practice Address - Phone:406-443-1122
Practice Address - Fax:406-443-1144
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-TMP-7727208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation