Individual
HEIDI MARIE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., A.T.C.
Contact information
Practice address
32 E. MAIN STREET, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Mailing address
32 EAST MAIN STREET, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004721
IA
225100000X
Physical Therapist
10527
WI
2255A2300X
Athletic Trainer
645-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40472000
—
WI
Enumeration date
09/25/2006
Last updated
03/06/2012
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