Basic Information
| Provider Information | |||||||||
| NPI: | 1295842516 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELCHER | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | D.P.T. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WHITLEY | ||||||||
| OtherFirstName: | LINDSAY | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4411 POINT FOSDICK DR NW | ||||||||
| Address2: | SUITE #301 | ||||||||
| City: | GIG HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983351703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538517472 | ||||||||
| FaxNumber: | 2538517473 | ||||||||
| Practice Location | |||||||||
| Address1: | 4411 POINT FOSDICK DR NW | ||||||||
| Address2: | SUITE #301 | ||||||||
| City: | GIG HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983351703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538517472 | ||||||||
| FaxNumber: | 2538517473 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT00010160 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.