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NPI Code Detail

MEDICARE: DR. MEGHAN MICHELLE WELLE DPT

MEDICARE: DR. MEGHAN MICHELLE WELLE 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
1225100000XPhysical Therapist
2225100000XPhysical Therapist008144KY

General Provider Information

NPI Number : 1912510769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGHAN MICHELLE WELLE DPT
Provider Business Mailing Address
First Line : 12218 RIDGEVIEW DR
Second Line :
City : GOSHEN
State : KY
Zip : 40026-9446
Country : US
Telephone Number : 502-851-5800
Fax Number :
Provider Business Practice Location Address
First Line : 190 SHADOWMEADE LN
Second Line :
City : MT WASHINGTON
State : KY
Zip : 40047-6277
Country : US
Telephone Number : 502-538-2332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2020
Last Update Date : 11/15/2024

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