Provider Demographics
NPI:1518945930
Name:WELTI, NANCY E (PT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:E
Last Name:WELTI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 S 2600 W
Mailing Address - Street 2:STE 201
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-3270
Mailing Address - Country:US
Mailing Address - Phone:435-635-9333
Mailing Address - Fax:435-635-3026
Practice Address - Street 1:83 S 2600 W
Practice Address - Street 2:STE 201
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-3270
Practice Address - Country:US
Practice Address - Phone:435-635-9333
Practice Address - Fax:435-635-3026
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT114152-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT13618OtherPEHP