Provider Demographics
NPI:1295041788
Name:WELLING, KARA C (DPT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:C
Last Name:WELLING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:C
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:83 FRANKLIN WOODS
Mailing Address - Street 2:
Mailing Address - City:TRIADELPHIA
Mailing Address - State:WV
Mailing Address - Zip Code:26059-1160
Mailing Address - Country:US
Mailing Address - Phone:724-416-7172
Mailing Address - Fax:724-416-3037
Practice Address - Street 1:1 DOLLY AVE
Practice Address - Street 2:UNIT B-2
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-1190
Practice Address - Country:US
Practice Address - Phone:724-527-3999
Practice Address - Fax:724-527-3320
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA191993UY6OtherPTAN