Greg Ehlers, EDD, LAT
Individual provider Active NPI Athletic Trainer · Cedarburg, WI
NPI 1417596172 · NPPES record last updated Dec 29, 2019
Key facts
- NPI
- 1417596172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- W51N215 Fillmore Ave
Cedarburg, WI 53012-2939 - Phone
- (414) 690-0874
- NPI assigned
- Dec 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
W51N215 Fillmore Ave
Cedarburg, WI 53012-2939
Mailing address
W51N215 Fillmore Ave
Cedarburg, WI 53012-2939
Phone (414) 690-0874
Other providers in Cedarburg, WI
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- Samantha Dyson
- Linda Ann Edwards Savage
- Amanda Lynn Egelseer
- Constance R Eller
- Ahmed S Elsayed
- Emopti PN Service Corporation
- Stephanie Engebretson
- Brooke Michelle Engelhardt
All providers in Cedarburg, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.