Provider Demographics
NPI:1437669777
Name:SALUS, ERIC SCOTT JR (OT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:SCOTT
Last Name:SALUS
Suffix:JR
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S ROCK CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-4498
Mailing Address - Country:US
Mailing Address - Phone:609-468-7465
Mailing Address - Fax:
Practice Address - Street 1:2600 S ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-4498
Practice Address - Country:US
Practice Address - Phone:609-468-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-30
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021870225X00000X
CO6298225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist