Provider Demographics
NPI:1831436260
Name:SICHELSTIEL, LINDSEY ELIZABETH (MS, LAC, EAMP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ELIZABETH
Last Name:SICHELSTIEL
Suffix:
Gender:F
Credentials:MS, LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2814
Mailing Address - Country:US
Mailing Address - Phone:208-666-4666
Mailing Address - Fax:
Practice Address - Street 1:302 N 5TH ST
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2814
Practice Address - Country:US
Practice Address - Phone:208-666-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60455809171100000X
IDACU-300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist