Provider Demographics
NPI:1437510112
Name:SALIGA, JUSTIN (PT)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:SALIGA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9917 LAUREL CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-2873
Mailing Address - Country:US
Mailing Address - Phone:214-674-0530
Mailing Address - Fax:
Practice Address - Street 1:1300 E PLANO PKWY STE B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8546
Practice Address - Country:US
Practice Address - Phone:469-871-0090
Practice Address - Fax:469-871-0091
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1K9605OtherMEDICARE PTAN
TX1271891OtherPT LICENSE