Provider Demographics
NPI:1669647251
Name:SALVO THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:SALVO THERAPY SERVICES LLC
Other - Org Name:SALVO PHYSICAL THERAPY & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SALVO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:641-751-6347
Mailing Address - Street 1:1158 EDGINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ELDORA
Mailing Address - State:IA
Mailing Address - Zip Code:50627-1737
Mailing Address - Country:US
Mailing Address - Phone:641-751-6347
Mailing Address - Fax:
Practice Address - Street 1:1158 EDGINGTON AVE
Practice Address - Street 2:
Practice Address - City:ELDORA
Practice Address - State:IA
Practice Address - Zip Code:50627-1737
Practice Address - Country:US
Practice Address - Phone:641-751-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty