Provider Demographics
NPI:1033607403
Name:WOLLER, LINDSEY CAROLINE (ATC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CAROLINE
Last Name:WOLLER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7161 FRENCHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53508-9530
Mailing Address - Country:US
Mailing Address - Phone:608-807-8498
Mailing Address - Fax:
Practice Address - Street 1:7161 FRENCHTOWN RD
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53508-9530
Practice Address - Country:US
Practice Address - Phone:608-807-8498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer