Provider Demographics
NPI:1982274031
Name:EHLERS, BARRY (PT, DPT)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:EHLERS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 S SADDLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2402
Mailing Address - Country:US
Mailing Address - Phone:402-933-0100
Mailing Address - Fax:
Practice Address - Street 1:3134 MANAWA CENTRE DR
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-7690
Practice Address - Country:US
Practice Address - Phone:712-308-8038
Practice Address - Fax:712-524-1055
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IACP025864T225100000X
NE4236225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist