Provider Demographics
NPI:1275545212
Name:WELCH, HOLLY (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 CECIL ASHBURN DR SE STE 120
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2575
Mailing Address - Country:US
Mailing Address - Phone:256-929-2976
Mailing Address - Fax:256-883-0635
Practice Address - Street 1:2124 CECIL ASHBURN DR SE STE 120
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2575
Practice Address - Country:US
Practice Address - Phone:256-929-2976
Practice Address - Fax:256-883-0635
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5426225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist