Provider Demographics
NPI:1225741416
Name:DAHLINGHAUS, AMANDA
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:DAHLINGHAUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 SOUTH LINCOLN STREET
Mailing Address - Street 2:MINSTER, OHIO 45865
Mailing Address - City:MINSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45865
Mailing Address - Country:US
Mailing Address - Phone:419-733-6442
Mailing Address - Fax:
Practice Address - Street 1:24 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:MINSTER
Practice Address - State:OH
Practice Address - Zip Code:45865-1117
Practice Address - Country:US
Practice Address - Phone:419-628-2396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT012869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist