Provider Demographics
NPI:1912350869
Name:ATKINSON, CHRISTINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 HIGHWAY 100 S STE 103
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1599
Mailing Address - Country:US
Mailing Address - Phone:763-531-5039
Mailing Address - Fax:763-531-5004
Practice Address - Street 1:7555 BAILEY RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-9610
Practice Address - Country:US
Practice Address - Phone:651-209-9160
Practice Address - Fax:651-458-0241
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN82232251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology