Healthcare Provider Details

I. General information

NPI: 1316610686
Provider Name (Legal Business Name): KATHRYN SALCZYNSKI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 W ROSE GARDEN LN STE 4
PHOENIX AZ
85027-2725
US

IV. Provider business mailing address

1831 W ROSE GARDEN LN STE 4
PHOENIX AZ
85027-2725
US

V. Phone/Fax

Practice location:
  • Phone: 602-808-9912
  • Fax: 602-875-0385
Mailing address:
  • Phone: 602-808-9912
  • Fax: 602-875-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-31680
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: