Provider Demographics
NPI:1215629381
Name:SALACH, MADELINE G (PT, DPT)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:G
Last Name:SALACH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6354 EMERALD CT
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5497
Mailing Address - Country:US
Mailing Address - Phone:630-770-5578
Mailing Address - Fax:
Practice Address - Street 1:1500 LITTLE RAVEN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-6248
Practice Address - Country:US
Practice Address - Phone:720-251-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist