Provider Demographics
NPI:1902186554
Name:SALSBURY, JANIS L (MMP)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:L
Last Name:SALSBURY
Suffix:
Gender:F
Credentials:MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 VALEN WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-8277
Mailing Address - Country:US
Mailing Address - Phone:239-825-4588
Mailing Address - Fax:
Practice Address - Street 1:6510 VALEN WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-8277
Practice Address - Country:US
Practice Address - Phone:239-825-4588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 43765225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist