Provider Demographics
NPI:1861565004
Name:SLININGER, LISA ITOE (LMT, CMMT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ITOE
Last Name:SLININGER
Suffix:
Gender:F
Credentials:LMT, CMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TEDFORD CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-8109
Mailing Address - Country:US
Mailing Address - Phone:916-608-4577
Mailing Address - Fax:916-608-8876
Practice Address - Street 1:617 E BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3120
Practice Address - Country:US
Practice Address - Phone:916-817-2424
Practice Address - Fax:916-608-8876
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist