Individual ProviderJessica Vanessa SalasPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6611 Boeing Dr, El Paso, TX 79925-1010(915) 780-6564PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Vanessa Salas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538674874Provider TypeIndividualFull NameSalas, Jessica VanessaCredentialP.TGenderFemaleSole ProprietorNoEnumeration Date12/8/2017Last Updated12/8/2017Contact InformationPractice LocationPractice Address6611 Boeing Dr, El Paso, TX 79925-1010Phone(915) 780-6564FaxUnlisted FaxMailing LocationMailing Address6611 Boeing Dr, El Paso, TX 79925-1010Phone(915) 780-6564FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1201167Texas