MEDICARE: LEE M WELCH PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1548525017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE M WELCH PT, DPT

Provider Business Mailing Address
First Line	:	2121 E WILLIAMS ST
Second Line	:	SUITE 108
City	:	APEX
State	:	NC
Zip	:	27539-7764
Country	:	US
Telephone Number	:	919-372-8412
Fax Number	:	919-267-6556

Provider Business Practice Location Address
First Line	:	2121 E WILLIAMS ST
Second Line	:	SUITE 108
City	:	APEX
State	:	NC
Zip	:	27539-7764
Country	:	US
Telephone Number	:	919-372-8412
Fax Number	:	919-267-6556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	03/29/2023

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