Provider Demographics
NPI:1083359582
Name:SOLIS, ELIZABETH JUANA (CMT, NMT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JUANA
Last Name:SOLIS
Suffix:
Gender:F
Credentials:CMT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-3728
Mailing Address - Country:US
Mailing Address - Phone:530-712-0369
Mailing Address - Fax:
Practice Address - Street 1:420 PINE ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-3313
Practice Address - Country:US
Practice Address - Phone:530-715-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA847522081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine