Provider Demographics
NPI:1710052071
Name:EHLERS, CHRISTINE (MPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:EHLERS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 SALEM CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BOYCE
Mailing Address - State:VA
Mailing Address - Zip Code:22620-1707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 E CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4609
Practice Address - Country:US
Practice Address - Phone:540-667-9675
Practice Address - Fax:540-667-2763
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA226164OtherVA BCBS
VA000234P59Medicare ID - Type UnspecifiedPHYSICAL THERAPIST