Provider Demographics
NPI:1235861469
Name:SALUTARIS PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:SALUTARIS PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-804-7080
Mailing Address - Street 1:55319 BEAR RUN RD
Mailing Address - Street 2:
Mailing Address - City:CALLAHAN
Mailing Address - State:FL
Mailing Address - Zip Code:32011-8518
Mailing Address - Country:US
Mailing Address - Phone:240-804-7080
Mailing Address - Fax:
Practice Address - Street 1:55319 BEAR RUN RD
Practice Address - Street 2:
Practice Address - City:CALLAHAN
Practice Address - State:FL
Practice Address - Zip Code:32011-8518
Practice Address - Country:US
Practice Address - Phone:240-804-7080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy