Provider Demographics
NPI:1902699713
Name:EHLER, MARIN (DPT)
Entity type:Individual
Prefix:
First Name:MARIN
Middle Name:
Last Name:EHLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30601 JUNIPER RD
Mailing Address - Street 2:
Mailing Address - City:OSSIAN
Mailing Address - State:IA
Mailing Address - Zip Code:52161-7518
Mailing Address - Country:US
Mailing Address - Phone:563-422-8060
Mailing Address - Fax:
Practice Address - Street 1:112 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:IA
Practice Address - Zip Code:52175-1022
Practice Address - Country:US
Practice Address - Phone:563-422-9729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA131851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist