Individual
HOLLY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299
(800) 335-1060
Mailing address
2901 N ANDY WAY, BLOOMINGTON, IN 47404-1327
(765) 729-4367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011824A
IN
225100000X
Physical Therapist
PT016064
OH
Other
Enumeration date
09/02/2015
Last updated
08/22/2018
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