Healthcare Provider Details
I. General information
NPI: 1710440029
Provider Name (Legal Business Name): JULIA SALAZAR PT DPT WCS PS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2019
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1510 N ARGONNE RD STE F
SPOKANE VALLEY WA
99212-2572
US
IV. Provider business mailing address
1510 N ARGONNE RD STE F
SPOKANE VALLEY WA
99212-2572
US
V. Phone/Fax
- Phone: 406-868-9998
- Fax:
- Phone: 406-868-9998
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JULIA
SALAZAR
Title or Position: DPT/OWNER
Credential: DPT/OWNER
Phone: 406-868-9998