MEDICARE: JODY EHLERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471V0105X	Vascular Sonography Radiologic Technologist	80307	CO

General Provider Information

NPI Number	:	1588519458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY EHLERT

Provider Business Mailing Address
First Line	:	5060 PIERRE ST UNIT C
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-4445
Country	:	US
Telephone Number	:	208-450-9083
Fax Number	:

Provider Business Practice Location Address
First Line	:	2490 JUNCTION PL STE 102
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-2168
Country	:	US
Telephone Number	:	208-450-9083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

Similar Medicare Providers

1851984538 — YOUR HORIZON COUNSELING LLC
Practice Location Address:

2168 LEFTHAND CANYON DR
BOULDER, CO
80302-9345

Practice Phone: 303-219-0203
Practice Fax:

1306439088 — MARCIA FLYNT LPC
Practice Location Address:

2168 LEFTHAND CANYON DR
BOULDER, CO
80302-9345

Practice Phone: 303-219-0203
Practice Fax:

1033702717 — JOHN FLYNT LPC
Practice Location Address:

2168 LEFTHAND CANYON DR
BOULDER, CO
80302-9345

Practice Phone: 303-219-0203
Practice Fax:

1558540047 — MR. ROGER MARQUEZ TOVAR TECHNICIAN
Practice Location Address:

5944 PENNSWOOD AVE
LAKEWOOD, CA
90712-1231

Practice Phone: 562-461-2168
Practice Fax: 562-461-2160

1174894539 — PREMIER DIAGNOSTIC IMAGING SERVICES INC
Practice Location Address:

1784 E OAKTON ST , #113
DES PLAINES, IL
60018-2168

Practice Phone: 847-376-8959
Practice Fax:

1558356493 — CT RADIOLOGY COMPLEX, LLC
Practice Location Address:

1815 RD 2 , CT RADIOLOGY BUILDING
BAYAMON, PR
00959-7279

Practice Phone: 787-780-9069
Practice Fax: 787-780-2121

Directions to “ JODY EHLERT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.