Provider Demographics
NPI:1689673436
Name:WELSH, THOMAS MICHAEL (PT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:WELSH
Suffix:
Gender:M
Credentials:PT
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Other - Credentials:
Mailing Address - Street 1:KIBBEY & TURLE PHYSICAL THERAPY LLC
Mailing Address - Street 2:5480 WISCONSIN AVE SUITE B-1
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3537
Mailing Address - Country:US
Mailing Address - Phone:301-654-7383
Mailing Address - Fax:301-654-7897
Practice Address - Street 1:KIBBEY & TURLE PHYSICAL THERAPY LLC
Practice Address - Street 2:5480 WISCONSIN AVE SUITE B-1
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3537
Practice Address - Country:US
Practice Address - Phone:301-654-7383
Practice Address - Fax:301-654-7897
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD14430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJ-219OtherBCBS OF MARYLAND NON PAR NUMBER
650023759OtherRAILROAD MEDICARE
J219OtherMD
J219OtherMD