Provider Demographics
NPI:1578040671
Name:WELCH, ALANIE JEANNETTE (SCAT ATC)
Entity Type:Individual
Prefix:
First Name:ALANIE
Middle Name:JEANNETTE
Last Name:WELCH
Suffix:
Gender:F
Credentials:SCAT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10584 S NC HIGHWAY 62
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-8451
Mailing Address - Country:US
Mailing Address - Phone:336-214-1133
Mailing Address - Fax:
Practice Address - Street 1:10584 S NC HIGHWAY 62
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-8451
Practice Address - Country:US
Practice Address - Phone:336-214-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24852255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer