Healthcare Provider Details

I. General information

NPI: 1891639100
Provider Name (Legal Business Name): TAMI LEIGH HELLEWELL OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LONDON RD
MARSHALL MN
56258-3070
US

IV. Provider business mailing address

1123 181ST ST
BALATON MN
56115-1146
US

V. Phone/Fax

Practice location:
  • Phone: 507-537-2240
  • Fax:
Mailing address:
  • Phone: 507-220-8149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1036665
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: