Provider Demographics
NPI:1174990543
Name:OSTWINKLE, LINDSAY ROSE (PT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ROSE
Last Name:OSTWINKLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ROSE
Other - Last Name:SCHUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:22424 HANTELMAN RD
Mailing Address - Street 2:
Mailing Address - City:SHERRILL
Mailing Address - State:IA
Mailing Address - Zip Code:52073-9463
Mailing Address - Country:US
Mailing Address - Phone:563-543-1330
Mailing Address - Fax:
Practice Address - Street 1:1400 EASTSIDE RD
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-9800
Practice Address - Country:US
Practice Address - Phone:608-348-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13137-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist