Provider Demographics
NPI:1629376561
Name:WELCH, CHELSEA ANNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:ANNE
Last Name:WELCH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 PINE ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-3131
Mailing Address - Country:US
Mailing Address - Phone:607-329-0919
Mailing Address - Fax:
Practice Address - Street 1:139 WALNUT ST
Practice Address - Street 2:STE 101
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2545
Practice Address - Country:US
Practice Address - Phone:607-684-7287
Practice Address - Fax:607-238-2050
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033407225100000X
NY033407-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12256858OtherCAQH