Healthcare Provider Details

I. General information

NPI: 1740305341
Provider Name (Legal Business Name): KRISTIN L SALISBURY OCCUPATIONAL THERAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 VALLEY VIEW DR
PAGOSA SPRINGS CO
81147-8893
US

IV. Provider business mailing address

1666 LAKE FOREST CIR
PAGOSA SPRINGS CO
81147-8800
US

V. Phone/Fax

Practice location:
  • Phone: 707-357-1490
  • Fax:
Mailing address:
  • Phone: 707-357-1490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0008789
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27528
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: