Healthcare Provider Details

I. General information

NPI: 1346156353
Provider Name (Legal Business Name): COURTNEY LYNN WELKER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 W COOK RD
FORT WAYNE IN
46825-3214
US

IV. Provider business mailing address

1114 W COOK RD
FORT WAYNE IN
46825-3214
US

V. Phone/Fax

Practice location:
  • Phone: 260-483-5588
  • Fax: 260-489-1819
Mailing address:
  • Phone: 260-483-5588
  • Fax: 260-489-1819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08003614A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: