Provider Demographics
NPI:1174531784
Name:SALVADORE, TERESA (DC)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:SALVADORE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 S UTE AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-2259
Mailing Address - Country:US
Mailing Address - Phone:970-920-1247
Mailing Address - Fax:970-920-2917
Practice Address - Street 1:1280 S UTE AVE STE 20
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-2259
Practice Address - Country:US
Practice Address - Phone:970-920-1247
Practice Address - Fax:970-920-2917
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor