MEDICARE: MS. LINDA IRENE HELFMANN

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

General Provider Information

NPI Number	:	1740593623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA IRENE HELFMANN

Provider Business Mailing Address
First Line	:	33204 MONTICELLO DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-6716
Country	:	US
Telephone Number	:	586-764-9188
Fax Number	:	248-451-4303

Provider Business Practice Location Address
First Line	:	33204 MONTICELLO DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-6716
Country	:	US
Telephone Number	:	586-764-9188
Fax Number	:	248-451-4303

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

Provider Enumeration Date	:	07/20/2010
Last Update Date	:	07/20/2010

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