Individual ProviderSalina HallidayPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247(616) 840-8000PECOS EnrollmentBased on the most recent information from CMS, provider Salina Halliday is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1851927537Provider TypeIndividualFull NameHalliday, SalinaTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date3/13/2020Last Updated6/30/2022Contact InformationPractice LocationPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247Phone(616) 840-8000Fax(616) 840-9642Mailing LocationMailing Address235 Wealthy St SE, Grand Rapids, MI 49503-5247PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense5151015186MichiganCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer