Individual
LINDSEY HUDSON HISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5401 VOGEL RD STE 140, EVANSVILLE, IN 47715-7831
(812) 477-5000
(812) 477-5002
Mailing address
5401 VOGEL RD STE 140, EVANSVILLE, IN 47715-7831
(812) 477-5000
(812) 477-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05012157A
STATE LICENSE
IN
05
—
300000117
—
IN
Enumeration date
01/08/2018
Last updated
06/16/2018
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