Individual provider · Type 1 NPI

Carly Jo Coulthart, PT

Physical Therapist · Green Bay, WI

NPI number 1386532703 Active

Practice location

1110 Kepler Dr
Green Bay, WI 54311-8306

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X17244-24 (WI)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1386532703

Carly Jo Coulthart, PT's National Provider Identifier is 1386532703, issued on Jun 25, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 18, 2025.