Doctor Name: | SARITA ODESSA SALAMONE |
NPI Number: | 1205177474 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BCTMB, LMT |
License Number: | 11732-146 |
Business Practice Address: | N45w25203 Lindsay Rd Pewaukee, WI - 530721935 |
Business Phone Number: | 2627209800 |
Business Fax Number: | |
Mailing Address: | N45w25203 Lindsay Rd, PEWAUKEE |
State: | WI |
Postal Code: | 530721935 |
Phone Number: | 2627209800 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 11732-146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |