MEDICARE: KRISTIN L SALISBURY OCCUPATIONAL THERAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT.0008789	CO
2	225X00000X	Occupational Therapist	27528	CA

General Provider Information

NPI Number	:	1740305341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN L SALISBURY OCCUPATIONAL THERAP

Provider Business Mailing Address
First Line	:	1666 LAKE FOREST CIR
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-8800
Country	:	US
Telephone Number	:	707-357-1490
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 VALLEY VIEW DR
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-8893
Country	:	US
Telephone Number	:	707-357-1490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	12/19/2025

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