Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lynette Vanausdale, PTA

Individual provider Physical Therapy Assistant · NPI 1427297688

Lynette Vanausdale, PTA is a Physical Therapy Assistant in Fairview Heights, Illinois. Licensed in Kansas. Registered with an NPI since 2009.

Licensed in
KS
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

141 Market Pl Ste 203
Fairview Heights, IL 62208-2034
Phone: (618) 398-4118
Fax: (847) 881-9640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1400909 (KS)

Record details

NPI number1427297688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 11, 2009
Last updated in NPPESFebruary 11, 2009

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