Healthcare Provider Details

I. General information

NPI: 1881612737
Provider Name (Legal Business Name): SALISBURY PHYSICAL THERAPY AND FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N WEBER AVE
SALISBURY MO
65281-1482
US

IV. Provider business mailing address

301 N WEBER AVE
SALISBURY MO
65281-1482
US

V. Phone/Fax

Practice location:
  • Phone: 660-388-6046
  • Fax: 660-388-6049
Mailing address:
  • Phone: 660-388-6046
  • Fax: 660-388-6049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHEILA R WOOLDRIDGE
Title or Position: DIRECTOR/PHYSICAL THERAPIST
Credential: P.T.
Phone: 660-388-6046