Provider Demographics
NPI:1174902738
Name:BAKER, LINDSEY MOORE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MOORE
Last Name:BAKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:MOORE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6202 S PARKER RD UNIT 500
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1270
Mailing Address - Country:US
Mailing Address - Phone:720-361-2304
Mailing Address - Fax:720-361-2639
Practice Address - Street 1:6202 S PARKER RD UNIT 500
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80016
Practice Address - Country:US
Practice Address - Phone:720-361-2304
Practice Address - Fax:720-361-2639
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0013512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist