Healthcare Provider Details
I. General information
NPI: 1376199265
Provider Name (Legal Business Name): CHRISTOPHER STEVEN LAWSON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/15/2019
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6545 FLYING CLOUD DR STE 100
EDEN PRAIRIE MN
55344-3320
US
IV. Provider business mailing address
432 N 1ST ST APT 118
MINNEAPOLIS MN
55401-1382
US
V. Phone/Fax
- Phone: 952-941-3311
- Fax: 952-944-2004
- Phone: 612-716-7828
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 018243 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 13313 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: