Provider Demographics
NPI:1215230966
Name:DAINO, SALVATORE VITO (LMT)
Entity Type:Individual
Prefix:MR
First Name:SALVATORE
Middle Name:VITO
Last Name:DAINO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4861
Mailing Address - Country:US
Mailing Address - Phone:267-994-7765
Mailing Address - Fax:
Practice Address - Street 1:2323 SOUTH TROY STREET BLDG3
Practice Address - Street 2:SUITE 107
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-209-3095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11139225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist