Provider Demographics
NPI:1487754453
Name:SALUD, KATHRYN ARCIAGA (PT)
Entity type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:ARCIAGA
Last Name:SALUD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:A
Other - Last Name:TAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1110 E ALGONQUIN RD APT 3G
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4028
Mailing Address - Country:US
Mailing Address - Phone:847-809-7115
Mailing Address - Fax:
Practice Address - Street 1:1110 E ALGONQUIN RD APT 3G
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4028
Practice Address - Country:US
Practice Address - Phone:847-809-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist