Provider Demographics
NPI:1912795394
Name:WAHLERS, TAYLOR SHANE
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:SHANE
Last Name:WAHLERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 N BEHLMAN RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-1509
Mailing Address - Country:US
Mailing Address - Phone:419-559-4311
Mailing Address - Fax:
Practice Address - Street 1:459 N BEHLMAN RD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-1509
Practice Address - Country:US
Practice Address - Phone:419-559-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care