Healthcare Provider Details

I. General information

NPI: 1073675195
Provider Name (Legal Business Name): DONNA PAULETTE SALAS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 SARATOGA BLVD
CORPUS CHRISTI TX
78414-4100
US

IV. Provider business mailing address

7237 WINDY RIDGE DR
CORPUS CHRISTI TX
78413-5715
US

V. Phone/Fax

Practice location:
  • Phone: 361-985-5000
  • Fax:
Mailing address:
  • Phone: 361-244-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1161263
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number1161263
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number1161263
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: