Provider Demographics
NPI:1891950499
Name:GALUSKI, AISLYNN KATIE-JEAN (MSPT)
Entity Type:Individual
Prefix:MS
First Name:AISLYNN
Middle Name:KATIE-JEAN
Last Name:GALUSKI
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2124
Mailing Address - Country:US
Mailing Address - Phone:207-774-7751
Mailing Address - Fax:207-774-0631
Practice Address - Street 1:1600 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2124
Practice Address - Country:US
Practice Address - Phone:207-774-7751
Practice Address - Fax:207-774-0631
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist