Provider Demographics
NPI:1760925945
Name:WELCH, GENEVIEVE MONROE (DPT)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:MONROE
Last Name:WELCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:G
Other - Last Name:MONROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:21200 STATE HIGHWAY 46 W
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6793
Mailing Address - Country:US
Mailing Address - Phone:830-980-4055
Mailing Address - Fax:830-438-4085
Practice Address - Street 1:21200 STATE HIGHWAY 46 W
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070
Practice Address - Country:US
Practice Address - Phone:830-980-4055
Practice Address - Fax:830-438-4085
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16746225100000X
TX1311636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1311636OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS