Provider Demographics
NPI:1982004008
Name:WELTE, BART (AT)
Entity Type:Individual
Prefix:MR
First Name:BART
Middle Name:
Last Name:WELTE
Suffix:
Gender:M
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12179 CO RD 109
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9647
Mailing Address - Country:US
Mailing Address - Phone:419-299-9931
Mailing Address - Fax:
Practice Address - Street 1:12179 CO RD 109
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-9647
Practice Address - Country:US
Practice Address - Phone:419-299-9931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-1316172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist