Provider Demographics
NPI:1255719126
Name:SALIDO, TIFFANY BETH (PT)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:BETH
Last Name:SALIDO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ENKA HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9560
Mailing Address - Country:US
Mailing Address - Phone:828-423-5390
Mailing Address - Fax:
Practice Address - Street 1:14 ENKA HILLCREST ST
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9560
Practice Address - Country:US
Practice Address - Phone:828-423-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist