Lindsi Brooke Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · Kingsport, TN
NPI 1649497983 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649497983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0000003816 (TN)
- Practice address
- 130 W Ravine Rd
Kingsport, TN 37660-3810 - Phone
- (423) 224-5510
- Fax
- (423) 224-5544
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000003816 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0000003816 | TN | Yes |
Addresses
Primary practice location
130 W Ravine Rd
Kingsport, TN 37660-3810
Mailing address
21058 Sweetland CT
Apartment 8
Abingdon, VA 24211-6145
Phone (276) 791-1347
Other providers in Kingsport, TN
- Amerita South Atlantic LLC
- Parvati Ananthula
- Srinivas Ananthula
- Kathleen Rose Anderson
- Kierra Anderson
- Macie Anderson
- David Q Andrews
- Matthew Andrews
- Cheri L Anglin
- Apex Healthcare,
All providers in Kingsport, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.