Provider Demographics
NPI:1063979185
Name:EXECUTIVE HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:EXECUTIVE HEALTH SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:402-320-8770
Mailing Address - Street 1:5003 CROGANS WAY RD
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-8616
Mailing Address - Country:US
Mailing Address - Phone:402-320-8770
Mailing Address - Fax:
Practice Address - Street 1:1016 S 74TH PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4642
Practice Address - Country:US
Practice Address - Phone:402-939-8026
Practice Address - Fax:402-249-5497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty