Provider Demographics
NPI:1003353004
Name:HELMUS, KRISTIN STRUPP (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:STRUPP
Last Name:HELMUS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 FERRARA CIR UNIT A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-8228
Mailing Address - Country:US
Mailing Address - Phone:815-295-3043
Mailing Address - Fax:
Practice Address - Street 1:1616 AZALEA DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-2774
Practice Address - Country:US
Practice Address - Phone:254-742-2290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1283418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist