Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 08296 | LA |
Y | 225100000X | Physical Therapist | 8135 | SC |
N | 225100000X | Physical Therapist | PTH6808 | AL |
NPI | 1003152406 |
---|---|
Provider Name | Lindsey K Capps |
First Address | Bolingbrook, IL 60440-4909 |
Second Address | Mt Pleasant, SC 29464-8170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2012 |
Last Update Date | 23/05/2016 |