Provider Demographics
NPI:1356663710
Name:EHKE, GINGER LEI SALERA (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:GINGER LEI
Middle Name:SALERA
Last Name:EHKE
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:GINGER LEI
Other - Middle Name:CHIEMI
Other - Last Name:SALERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:11022 SAINT RAFAEL ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-3808
Mailing Address - Country:US
Mailing Address - Phone:808-756-2130
Mailing Address - Fax:
Practice Address - Street 1:6510 HINSON ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-4413
Practice Address - Country:US
Practice Address - Phone:808-756-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05061992255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer