Provider Demographics
NPI:1013497551
Name:WELCH, JOSHUA KYLE (PT,DPT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:KYLE
Last Name:WELCH
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7402 YORK RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7519
Mailing Address - Country:US
Mailing Address - Phone:410-260-3931
Mailing Address - Fax:410-560-0877
Practice Address - Street 1:7402 YORK RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7519
Practice Address - Country:US
Practice Address - Phone:410-260-3931
Practice Address - Fax:410-560-0877
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27116225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1780658344OtherGROUP NPI