Provider Demographics
NPI:1568598449
Name:SALYER, CARRIE LYNN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:LYNN
Last Name:SALYER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:LYNN
Other - Last Name:DICKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:4 UNIVERSAL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-4415
Mailing Address - Country:US
Mailing Address - Phone:636-441-1468
Mailing Address - Fax:
Practice Address - Street 1:324 JUNGERMANN ROAD
Practice Address - Street 2:
Practice Address - City:ST. PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-4415
Practice Address - Country:US
Practice Address - Phone:636-928-5327
Practice Address - Fax:636-928-5322
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004830225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist