Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 13262 | OR |
NPI | 1003945791 |
---|---|
Provider Name | Daniel E Salisbury |
First Address | Ashland, OR 97520-0038 |
Second Address | Ashland, OR 97520-2215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 24/02/2011 |