Provider Demographics
NPI:1326449380
Name:WELSH, LEIGH (PT, DPT, CLT)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:
Last Name:WELSH
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 SHORELINE HWY
Mailing Address - Street 2:SUITE A9
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3664
Mailing Address - Country:US
Mailing Address - Phone:415-381-8707
Mailing Address - Fax:
Practice Address - Street 1:247 SHORELINE HWY
Practice Address - Street 2:SUITE A9
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3664
Practice Address - Country:US
Practice Address - Phone:415-381-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist