Provider Demographics
NPI:1841801644
Name:LINDSEY, NOAH KONNER (DPT)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:KONNER
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 PEACHTREE PKWY STE 116
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2558
Mailing Address - Country:US
Mailing Address - Phone:470-482-6926
Mailing Address - Fax:
Practice Address - Street 1:5270 PEACHTREE PKWY STE 116
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-2558
Practice Address - Country:US
Practice Address - Phone:470-482-6926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0148572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic