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NPI 1205578374

NPI 1205578374 : LINDSEY K SALUTE DPT : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1205578374
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY K SALUTE DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2022
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    4650 W SWEETWATER AVE 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85304-1505
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    Country              |    US
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    Telephone            |    602-347-2600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2762 E MICHIGAN AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85032-1026
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    Country              |    US
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    Telephone            |    928-910-3868
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    31431
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    31431
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    License Number State |    AZ
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