MEDICARE: EDWIN SALGADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0019020789	VA

General Provider Information

NPI Number	:	1598623357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWIN SALGADO

Provider Business Mailing Address
First Line	:	4176 DALE BLVD
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-2225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4176 DALE BLVD
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-2225
Country	:	US
Telephone Number	:	703-772-0429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ EDWIN SALGADO ” Practice Location

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