MEDICARE: MR. CHAD E LAWSON CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	7501000085	MI

General Provider Information

NPI Number	:	1164848677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHAD E LAWSON CMT

Provider Business Mailing Address
First Line	:	PO BOX 441
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-0441
Country	:	US
Telephone Number	:	810-253-5586
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 441
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-0441
Country	:	US
Telephone Number	:	810-625-3558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2014
Last Update Date	:	05/01/2025

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