# JOYCE R EHLENFELDT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225168859
- **Gender:** F
- **Credential:** MPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 14095 | WI | Yes |
| 2251P0200X | Pediatric Physical Therapist | 070.013025 | IL | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 04/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01638671 | BLUE CROSS BLUE SHIELD | IL |