Provider Demographics
NPI:1164304010
Name:GEHLER, CARLY (RDN)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:GEHLER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 REVERE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6331
Mailing Address - Country:US
Mailing Address - Phone:719-684-3022
Mailing Address - Fax:
Practice Address - Street 1:862 W WITHERSPOON DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-8850
Practice Address - Country:US
Practice Address - Phone:303-921-5157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86067437133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered