Healthcare Provider Details

I. General information

NPI: 1609755743
Provider Name (Legal Business Name): REBECCA OHLHAUSEN LMT, BSH, BHC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8637 FREDERICKSBURG RD STE 118
SAN ANTONIO TX
78240-1283
US

IV. Provider business mailing address

718 BARCLAY ST
SAN ANTONIO TX
78207-5737
US

V. Phone/Fax

Practice location:
  • Phone: 210-810-2990
  • Fax:
Mailing address:
  • Phone: 210-810-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number046868
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: