Provider Demographics
NPI:1710440029
Name:JULIA SALAZAR PT DPT WCS PS
Entity Type:Organization
Organization Name:JULIA SALAZAR PT DPT WCS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT/OWNER
Authorized Official - Phone:406-868-9998
Mailing Address - Street 1:1510 N ARGONNE RD STE F
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2572
Mailing Address - Country:US
Mailing Address - Phone:406-868-9998
Mailing Address - Fax:
Practice Address - Street 1:1510 N ARGONNE RD STE F
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2572
Practice Address - Country:US
Practice Address - Phone:406-868-9998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy