Individual provider · Type 1 NPI

Ryan Widhalm

Day Training/Habilitation Specialist · Omaha, NE

NPI number 1124825542 Active

Practice location

6818 Grover St Ste 200
Omaha, NE 68106-3632

Fax (402) 614-8245

Other practice locations

  • 7815 S 164th St, Omaha, NE 68136-3108 · (402) 341-0500

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1124825542

Ryan Widhalm's National Provider Identifier is 1124825542, issued on Feb 25, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 21, 2025.