Provider Demographics
NPI:1154892206
Name:EHLERS, DAYNA ELLEN (DPT, PT)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:ELLEN
Last Name:EHLERS
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:DAYNA
Other - Middle Name:ELLEN
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2565 E PIKES PEAK AVE APT N208
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-7012
Mailing Address - Country:US
Mailing Address - Phone:570-664-1577
Mailing Address - Fax:
Practice Address - Street 1:2118 CHATALET LN
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-4625
Practice Address - Country:US
Practice Address - Phone:719-564-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0015440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist