Provider Demographics
NPI:1457238206
Name:NICHOLS, LINDSEY MICHELLE
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:NICHOLS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 TIMBER RANCH RD
Mailing Address - Street 2:
Mailing Address - City:APPLE SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75926-6145
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 TIMBER RANCH RD
Practice Address - Street 2:
Practice Address - City:APPLE SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75926-6145
Practice Address - Country:US
Practice Address - Phone:936-707-5610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218899224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant