Provider Demographics
NPI:1659410157
Name:WELTZIN, KAREN MARGARET (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARGARET
Last Name:WELTZIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 DANIEL AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:IA
Mailing Address - Zip Code:52210-9613
Mailing Address - Country:US
Mailing Address - Phone:319-827-3856
Mailing Address - Fax:
Practice Address - Street 1:3706 CEDAR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6207
Practice Address - Country:US
Practice Address - Phone:319-268-7677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist