Provider Demographics
NPI:1043407349
Name:HELMS, ESTA (LMT)
Entity Type:Individual
Prefix:
First Name:ESTA
Middle Name:
Last Name:HELMS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S 8TH AVE
Mailing Address - Street 2:SUITE F1-F2
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-4003
Mailing Address - Country:US
Mailing Address - Phone:928-502-9922
Mailing Address - Fax:928-726-3723
Practice Address - Street 1:3300 S 8TH AVE
Practice Address - Street 2:SUITE F1-F2
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-4003
Practice Address - Country:US
Practice Address - Phone:928-502-9922
Practice Address - Fax:928-726-3723
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist