Provider Demographics
NPI:1447520192
Name:SALGADO, JOEY N (PT)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:N
Last Name:SALGADO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32525 SHIELA WAY
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5044
Mailing Address - Country:US
Mailing Address - Phone:509-430-9931
Mailing Address - Fax:408-274-2858
Practice Address - Street 1:2680 S WHITE RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2079
Practice Address - Country:US
Practice Address - Phone:408-274-0888
Practice Address - Fax:408-274-2858
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 38404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist