Provider Demographics
NPI:1043450273
Name:LAWSON, ALISON N (MPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:N
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:N
Other - Last Name:PFISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:607 DEWEY AVE NW
Mailing Address - Street 2:STE 300
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-7335
Mailing Address - Country:US
Mailing Address - Phone:616-356-5000
Mailing Address - Fax:616-356-5001
Practice Address - Street 1:4800 MEXICO RD
Practice Address - Street 2:STE 104
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1666
Practice Address - Country:US
Practice Address - Phone:636-939-9540
Practice Address - Fax:636-939-9886
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010032125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO12434966OtherCAQH
MOP01187680OtherRAILROAD MEDICARE
MO140380011Medicare PIN
MOP01187680OtherRAILROAD MEDICARE