Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 5644494-2401 | UT |
NPI | 1245353879 |
---|---|
Provider Name | Weston A Lindsay |
First Address | Salt Lake City, UT 84143-0001 |
Second Address | Salt Lake City, UT 84143-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/07/2007 |