MEDICARE: PEGGY J HELMS LMT

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	350642-4701	UT

General Provider Information

NPI Number	:	1861662454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY J HELMS LMT

Provider Business Mailing Address
First Line	:	2411 E 6600 S
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-2622
Country	:	US
Telephone Number	:	801-232-6878
Fax Number	:

Provider Business Practice Location Address
First Line	:	2073 E 9400 S
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-3128
Country	:	US
Telephone Number	:	801-232-6878
Fax Number	:

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

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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