Healthcare Provider Details

I. General information

NPI: 1801738992
Provider Name (Legal Business Name): LAWRENCE PHYSICAL THERAPY AND PERFORMANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14615 MANCHESTER RD STE 203
MANCHESTER MO
63011-3790
US

IV. Provider business mailing address

14615 MANCHESTER RD STE 203
MANCHESTER MO
63011-3790
US

V. Phone/Fax

Practice location:
  • Phone: 636-233-5467
  • Fax:
Mailing address:
  • Phone: 636-233-5467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDSAY LAWRENCE
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT, ATC
Phone: 636-233-5467