MEDICARE: CHRISTINE HELSEL BCTMB, LMT

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	225700000X	Massage Therapist	33.026064	OH

General Provider Information

NPI Number	:	1639868441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE HELSEL BCTMB, LMT

Provider Business Mailing Address
First Line	:	4126 GAGE WAY
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-7554
Country	:	US
Telephone Number	:	937-672-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	4126 GAGE WAY
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-7554
Country	:	US
Telephone Number	:	937-672-8907
Fax Number	:

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

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/08/2023

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