Provider Demographics
NPI:1790726453
Name:WELSH, JAMES HUBERT JR (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HUBERT
Last Name:WELSH
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:8080 BLUEBONNET BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7827
Mailing Address - Country:US
Mailing Address - Phone:225-408-7990
Mailing Address - Fax:225-408-7989
Practice Address - Street 1:15420 S HARRELLS FERRY RD STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2933
Practice Address - Country:US
Practice Address - Phone:225-214-5330
Practice Address - Fax:225-214-5333
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2023-06-22
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Provider Licenses
StateLicense IDTaxonomies
LA00882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C715C811Medicare ID - Type Unspecified