Provider Demographics
NPI:1225558521
Name:SALAS-FIGUEROA, JESSICA JOANNE (ATC LAT EMT-B)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:JOANNE
Last Name:SALAS-FIGUEROA
Suffix:
Gender:F
Credentials:ATC LAT EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36 LOS ROBLES ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-5838
Mailing Address - Country:US
Mailing Address - Phone:972-741-8424
Mailing Address - Fax:
Practice Address - Street 1:36 LOS ROBLES ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006
Practice Address - Country:US
Practice Address - Phone:972-741-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT56242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer