Individual
LISA SHAREE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7190
(660) 885-5640
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7190
(660) 885-5640
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117141
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430975390
HOSPITAL
MO
Enumeration date
07/13/2006
Last updated
07/08/2007
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