Healthcare Provider Details

I. General information

NPI: 1730167701
Provider Name (Legal Business Name): KEVIN J HELVIK PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 SADDLE DR
HELENA MT
59601
US

IV. Provider business mailing address

251 SADDLE DR
HELENA MT
59601
US

V. Phone/Fax

Practice location:
  • Phone: 406-457-0480
  • Fax: 406-457-0481
Mailing address:
  • Phone: 406-457-0480
  • Fax: 406-457-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1740PT
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier3400595
Identifier TypeMEDICAID
Identifier StateMT
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: