Provider Demographics
NPI:1083413389
Name:SALISBERRY, MARKAYLA J
Entity type:Individual
Prefix:
First Name:MARKAYLA
Middle Name:J
Last Name:SALISBERRY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7472 CALLAHAN DR # A
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-8944
Mailing Address - Country:US
Mailing Address - Phone:225-305-0213
Mailing Address - Fax:
Practice Address - Street 1:7472 CALLAHAN DR # A
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-8944
Practice Address - Country:US
Practice Address - Phone:225-305-0213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)