Provider Demographics
NPI:1881743755
Name:SALAS, ULRIKE BARABARA (PT)
Entity type:Individual
Prefix:
First Name:ULRIKE
Middle Name:BARABARA
Last Name:SALAS
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 1:8630 BRAESWOOD PT APT 5
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7299
Mailing Address - Country:US
Mailing Address - Phone:719-594-8729
Mailing Address - Fax:
Practice Address - Street 1:2360 MONTEBELLO SQUARE DR STE C
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6901
Practice Address - Country:US
Practice Address - Phone:719-599-5330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8419225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist