Provider Demographics
NPI:1780918003
Name:ROBERSON, LINDSEY KAYE (PT)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:KAYE
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:KAYE
Other - Last Name:HOWETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 UNIVERSITY DR E
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-2642
Mailing Address - Country:US
Mailing Address - Phone:979-691-3300
Mailing Address - Fax:
Practice Address - Street 1:5101 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4801
Practice Address - Country:US
Practice Address - Phone:210-592-5332
Practice Address - Fax:210-592-5491
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1191523225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist