Individual
RYAN SALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8890 E 116TH ST STE 130, FISHERS, IN 46038-2856
(317) 621-6740
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011878A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00382716
RAILROAD MEDICARE
IN
Enumeration date
01/09/2017
Last updated
01/16/2023
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