Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | ||
N | 2251H1200X | Hand |
NPI | 1467830323 |
---|---|
Provider Name | Lyndsey Hubbard |
First Address | Manhattan, KS 66503-8837 |
Second Address | Goddard, KS 67052-8864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2015 |
Last Update Date | 29/10/2020 |