Individual
MRS. KELSEY BROOKE LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 GEORGE HOPPER RD, MIDLOTHIAN, TX 76065-5509
(817) 775-5105
Mailing address
209 BLUEBONNET TRL, MANSFIELD, TX 76063-7567
(817) 917-9346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2106659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106659
PTA LICENSE NUMBER
TX
Enumeration date
09/21/2018
Last updated
09/21/2018
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