Provider Demographics
NPI:1477161651
Name:SALAZAR, JAVIER (DPT)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4056 EMPOLI CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6433
Mailing Address - Country:US
Mailing Address - Phone:210-296-6970
Mailing Address - Fax:
Practice Address - Street 1:5907 ARGERIAN DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4237
Practice Address - Country:US
Practice Address - Phone:813-907-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27848225100000X
TX1326113225100000X
COMSPTL.0000012225100000X
FLPT41044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist