Healthcare Provider Details

I. General information

NPI: 1114998424
Provider Name (Legal Business Name): GREG SALVO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LINCOLN WAY
AMES IA
50014-7595
US

IV. Provider business mailing address

502 CAROLINE
ELDORA IA
50627-2233
US

V. Phone/Fax

Practice location:
  • Phone: 515-663-4824
  • Fax: 515-663-4860
Mailing address:
  • Phone: 641-939-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number02564
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: