Healthcare Provider Details

I. General information

NPI: 1205125630
Provider Name (Legal Business Name): KATHERINE L HELTON D.P.T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE L WARD D.P.T.

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W US HIGHWAY 40
TROY IL
62294-1862
US

IV. Provider business mailing address

157 E HIGH ST
EDWARDSVILLE IL
62025-1626
US

V. Phone/Fax

Practice location:
  • Phone: 618-967-5539
  • Fax:
Mailing address:
  • Phone: 713-201-5757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0013091
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2016017836
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070018370
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: