Provider Demographics
NPI:1366925927
Name:HERNANDEZ, LINDSEY (OTR)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:CARTWRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2876 DEEP LAKE LOPPS RD
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-9311
Mailing Address - Country:US
Mailing Address - Phone:509-844-8578
Mailing Address - Fax:
Practice Address - Street 1:217 S HOFSTETTER ST
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-3239
Practice Address - Country:US
Practice Address - Phone:509-684-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61447348225XP0200X
TX214696224Z00000X
TX122518225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant