Provider Demographics
NPI:1831317015
Name:SCHMIDT-LAWSON, HOLLY LYNN (DPT, MTC)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:LYNN
Last Name:SCHMIDT-LAWSON
Suffix:
Gender:F
Credentials:DPT, MTC
Other - Prefix:DR
Other - First Name:HOLLY
Other - Middle Name:LYNN
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:29 PORCUPINE DR
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-6737
Mailing Address - Country:US
Mailing Address - Phone:727-642-0298
Mailing Address - Fax:
Practice Address - Street 1:10 CYPRESS POINT PKWY STE 106
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2503
Practice Address - Country:US
Practice Address - Phone:386-264-6672
Practice Address - Fax:386-264-6632
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist