Provider Demographics
NPI:1003047861
Name:HELGESON, EMILY JOANNE (PT,DPT,CLT)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:JOANNE
Last Name:HELGESON
Suffix:
Gender:F
Credentials:PT,DPT,CLT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JOANNE
Other - Last Name:LEVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:218-786-8364
Mailing Address - Fax:
Practice Address - Street 1:4289 UGSTAD RD
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-3615
Practice Address - Country:US
Practice Address - Phone:218-786-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18704225100000X
MN9252225100000X
MTPTP-PT-LIC-12859208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation