Provider Demographics
NPI:1609755743
Name:OHLHAUSEN, REBECCA (LMT, BSH, BHC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:OHLHAUSEN
Suffix:
Gender:X
Credentials:LMT, BSH, BHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 BARCLAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5737
Mailing Address - Country:US
Mailing Address - Phone:210-810-2990
Mailing Address - Fax:
Practice Address - Street 1:8637 FREDERICKSBURG RD STE 118
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1283
Practice Address - Country:US
Practice Address - Phone:210-810-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X, 171400000X
TX046868225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171000000XOther Service ProvidersMilitary Health Care Provider
No171400000XOther Service ProvidersHealth & Wellness Coach