Provider Demographics
NPI:1780255224
Name:BENSON, LINDSEY AMELIA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:AMELIA
Last Name:BENSON
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9140 OOLTEWAH GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-9714
Mailing Address - Country:US
Mailing Address - Phone:423-322-8889
Mailing Address - Fax:
Practice Address - Street 1:78 WEAVER BLVD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9322
Practice Address - Country:US
Practice Address - Phone:828-645-4297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14140225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist