Provider Demographics
NPI:1851454359
Name:LASKIN, JAMES (PT, PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LASKIN
Suffix:
Gender:M
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MONTANA DEPT OF PHYSICAL THERAPY
Mailing Address - Street 2:SKAGGS BLDG. 025
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59812-0001
Mailing Address - Country:US
Mailing Address - Phone:406-243-4016
Mailing Address - Fax:406-243-2795
Practice Address - Street 1:UNIVERSITY OF MONTANA DEPT OF PHYSICAL THERAPY
Practice Address - Street 2:SKAGGS BLDG. 025
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0001
Practice Address - Country:US
Practice Address - Phone:406-243-4016
Practice Address - Fax:406-243-2795
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1411PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0346494Medicaid