Provider Demographics
NPI:1174133896
Name:LINDSEY, ALLISON RENAE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENAE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 S KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2239
Mailing Address - Country:US
Mailing Address - Phone:806-373-2200
Mailing Address - Fax:
Practice Address - Street 1:1619 S KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2239
Practice Address - Country:US
Practice Address - Phone:806-373-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1334726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist