Healthcare Provider Details
I. General information
NPI: 1093755365
Provider Name (Legal Business Name): SALA CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2746 S PARK RD
BETHEL PARK PA
15102-3806
US
IV. Provider business mailing address
2746 SOUTH PARK ROAD
BETHEL PARK PA
15102
US
V. Phone/Fax
- Phone: 412-831-8000
- Fax: 412-833-2536
- Phone: 412-831-8000
- Fax: 412-833-2536
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KENNETH
SALA
Title or Position: PRESIDENT
Credential: DC
Phone: 412-831-8000