Provider Demographics
NPI:1891899480
Name:HALL, LIISA S (DC)
Entity Type:Individual
Prefix:DR
First Name:LIISA
Middle Name:S
Last Name:HALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:LIISA
Other - Middle Name:S
Other - Last Name:SALO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 PLEASANT ST
Mailing Address - Street 2:#3
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4955
Mailing Address - Country:US
Mailing Address - Phone:563-505-5528
Mailing Address - Fax:
Practice Address - Street 1:47 ELM ST
Practice Address - Street 2:#3
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2835
Practice Address - Country:US
Practice Address - Phone:978-646-0010
Practice Address - Fax:978-646-0076
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor