Healthcare Provider Details

I. General information

NPI: 1912350869
Provider Name (Legal Business Name): CHRISTINA ATKINSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2016
Last Update Date: 09/11/2025
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7555 BAILEY RD
WOODBURY MN
55129-9610
US

IV. Provider business mailing address

1660 HIGHWAY 100 S STE 103
SAINT LOUIS PARK MN
55416-1599
US

V. Phone/Fax

Practice location:
  • Phone: 651-209-9160
  • Fax: 651-458-0241
Mailing address:
  • Phone: 763-531-5039
  • Fax: 763-531-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number8223
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: