Individual ProviderLindsay Amanda MackayPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369-7078(763) 201-8191PECOS EnrollmentBased on the most recent information from CMS, provider Lindsay Amanda Mackay does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225887722Provider TypeIndividualFull NameMackay, Lindsay AmandaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date5/16/2024Last Updated5/16/2024Contact InformationPractice LocationPractice Address7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369-7078Phone(763) 201-8191Fax(763) 201-8192Mailing LocationMailing Address9645 Grove Cir N Ste 200, Maple Grove, MN 55369-2684Phone(763) 201-8191Fax(763) 201-8192Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13441Minnesota