Provider Demographics
NPI:1861796922
Name:WOLFE, LINDSEY MARIE (DPT)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:MARIE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E ORANGE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-5054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 E ORANGE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-5054
Practice Address - Country:US
Practice Address - Phone:863-617-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25701225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist