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General NPI Number Information
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NPI Number | 1104579572
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Entity Type | Individual
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Provider Name | STEPHANIE SALISBURY DPT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 02/22/2026
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Provider Practice Location Address
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Address Line | 1537 FLORIDA RD STE 105
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City | DURANGO
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State | CO
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Zip | 81301-5792
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Country | US
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Telephone | 970-902-3984
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Fax |
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Provider Business Mailing Address
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Address Line | 361 S CAMINO DEL RIO # 154
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City | DURANGO
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State | CO
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Zip | 81303-7997
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Country | US
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Telephone | 316-390-0011
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-05386
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0019739
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-2024-0315
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License Number State | NM
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