Provider Demographics
NPI:1477985158
Name:LASKEY, ALICIA ROSE (PT)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:ROSE
Last Name:LASKEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 OLD FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-3656
Mailing Address - Country:US
Mailing Address - Phone:814-860-7816
Mailing Address - Fax:
Practice Address - Street 1:5930 OLD FRENCH RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-3656
Practice Address - Country:US
Practice Address - Phone:814-860-7816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14378225100000X
SC7158225100000X
PADAPT003614225100000X
PAPT025621225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist