Provider Demographics
NPI:1487963195
Name:SALFAI, WILLIAM T (DPT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:T
Last Name:SALFAI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2600 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2690
Mailing Address - Country:US
Mailing Address - Phone:989-837-1529
Mailing Address - Fax:989-837-2499
Practice Address - Street 1:2600 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2690
Practice Address - Country:US
Practice Address - Phone:989-837-1529
Practice Address - Fax:989-837-2499
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5501015281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI404773166Medicaid
MI404773166Medicaid