Provider Demographics
NPI:1982813606
Name:SALKEY, DWIGHT A (PT)
Entity type:Individual
Prefix:
First Name:DWIGHT
Middle Name:A
Last Name:SALKEY
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 1:29716 DESMOND DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-5912
Mailing Address - Country:US
Mailing Address - Phone:407-435-2838
Mailing Address - Fax:
Practice Address - Street 1:6962 BOULDER AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-3328
Practice Address - Country:US
Practice Address - Phone:909-907-5211
Practice Address - Fax:909-435-4690
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
FLPT 6923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist