Healthcare Provider Details

I. General information

NPI: 1669002788
Provider Name (Legal Business Name): HELM PARTNERS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 CRESTONE OVERLOOK
CRESTONE CO
81131-0309
US

IV. Provider business mailing address

PO BOX 309
CRESTONE CO
81131-0309
US

V. Phone/Fax

Practice location:
  • Phone: 719-480-9745
  • Fax:
Mailing address:
  • Phone: 719-480-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN ELLEN HELM
Title or Position: FOUNDER
Credential: OTR
Phone: 719-480-9745