Christopher Lanski, PT, DPT, MBA

Individual provider Active NPI Physical Therapist · Salmon, ID

NPI 1497045447 · NPPES record last updated Jan 12, 2024

Key facts

NPI
1497045447
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-8988 (ID)
Practice address
203 S. Daisy Street
Salmon, ID 83467
Phone
(208) 756-5600
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PT-8988IDMDPhysical Therapist
2538NVMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2538 NV
Physical Therapist 225100000X PT-8988 ID Yes

Addresses

Primary practice location

203 S. Daisy Street
Salmon, ID 83467

Mailing address

203 S. Daisy Street
Salmon, ID 83467
Phone (208) 756-5600

Other providers in Salmon, ID

All providers in Salmon, ID · Physical Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.