Individual
LINDSEY THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
115 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 471-1290
Mailing address
115 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 471-1290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2734
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199977721
—
AR
Enumeration date
08/22/2013
Last updated
04/21/2019
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