Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Jo Coulthart, PT

Individual provider Physical Therapist · NPI 1386532703

Carly Jo Coulthart, PT is a Physical Therapist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1110 Kepler Dr
Green Bay, WI 54311-8306
Phone: (920) 932-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17244-24 (WI)

Record details

NPI number1386532703
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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