Provider Demographics
NPI:1902107790
Name:LINT, ALECIA ANN
Entity Type:Individual
Prefix:MISS
First Name:ALECIA
Middle Name:ANN
Last Name:LINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 IDLEWILD DR
Mailing Address - Street 2:APT 3
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1092
Mailing Address - Country:US
Mailing Address - Phone:775-240-5594
Mailing Address - Fax:
Practice Address - Street 1:480 GALLETTI WAY
Practice Address - Street 2:#8B
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5564
Practice Address - Country:US
Practice Address - Phone:775-324-1490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner