Provider Demographics
NPI:1003628017
Name:SALINAS, ALYSSA NOELLE (LMT)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:NOELLE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 BILGLADE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-1623
Mailing Address - Country:US
Mailing Address - Phone:817-691-2091
Mailing Address - Fax:
Practice Address - Street 1:3308 BILGLADE RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-1623
Practice Address - Country:US
Practice Address - Phone:817-691-2091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT126047225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist