Provider Demographics
NPI:1255072393
Name:LINK PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:LINK PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:509-995-0038
Mailing Address - Street 1:2607 S SOUTHEAST BLVD STE B211
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7614
Mailing Address - Country:US
Mailing Address - Phone:509-443-4357
Mailing Address - Fax:
Practice Address - Street 1:2607 S SOUTHEAST BLVD STE B211
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7614
Practice Address - Country:US
Practice Address - Phone:509-443-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty