Provider Demographics
NPI:1366966640
Name:SANE, LINDSAY RENEE (ATC, SCAT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RENEE
Last Name:SANE
Suffix:
Gender:F
Credentials:ATC, SCAT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:R
Other - Last Name:SANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATC, SCAT
Mailing Address - Street 1:103 CHERI CIR
Mailing Address - Street 2:
Mailing Address - City:PELZER
Mailing Address - State:SC
Mailing Address - Zip Code:29669-8602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1284 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-8616
Practice Address - Country:US
Practice Address - Phone:864-934-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer