MEDICARE: JEANNETTE ANN HELMS

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	225X00000X	Occupational Therapist	277238-4201	UT

General Provider Information

NPI Number	:	1538322839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNETTE ANN HELMS

Provider Business Mailing Address
First Line	:	1272 VINE GATE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-1783
Country	:	US
Telephone Number	:	801-638-7432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1274 VINE GATE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-1783
Country	:	US
Telephone Number	:	801-638-7432
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/09/2008

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Directions to “ JEANNETTE ANN HELMS ” Practice Location

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