Provider Demographics
NPI:1245785807
Name:ROPER, LYNDSEY ALANA (DPT)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:ALANA
Last Name:ROPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:ALANA
Other - Last Name:MARKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:2108 W 27TH ST STE K
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-3168
Practice Address - Country:US
Practice Address - Phone:785-856-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61928225100000X
KS11-07735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist