Provider Demographics
NPI:1326486044
Name:WELKER, ADAM S (DPT)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:S
Last Name:WELKER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3336 E CHANDLER HEIGHTS RD
Mailing Address - Street 2:#126
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4259
Mailing Address - Country:US
Mailing Address - Phone:480-840-6125
Mailing Address - Fax:480-840-6122
Practice Address - Street 1:4715 N 32ND ST
Practice Address - Street 2:#108
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3300
Practice Address - Country:US
Practice Address - Phone:480-689-5520
Practice Address - Fax:480-706-7409
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ10319225100000X
2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic