Provider Demographics
NPI:1710414677
Name:SALYER, BRIGITTE KAYLIN RENEE (LMT)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:KAYLIN RENEE
Last Name:SALYER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 SHAWNEE RUN APT E
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3923
Mailing Address - Country:US
Mailing Address - Phone:937-716-3207
Mailing Address - Fax:
Practice Address - Street 1:1 ELIZABETH PL STE 280
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3445
Practice Address - Country:US
Practice Address - Phone:937-952-6567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33023414225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist