Healthcare Provider Details

I. General information

NPI: 1417812207
Provider Name (Legal Business Name): LASKEY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 GLOVER STREET NORTH
TWISP WA
98856
US

IV. Provider business mailing address

3009 STATE ROUTE 153
TWISP WA
98856-9622
US

V. Phone/Fax

Practice location:
  • Phone: 360-961-7262
  • Fax:
Mailing address:
  • Phone: 360-961-7262
  • 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: SAMANTHA LASKEY
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: PT
Phone: 360-961-7262