Provider Demographics
NPI:1083928204
Name:HELMERS, TODD ANTHONY (LPT)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:ANTHONY
Last Name:HELMERS
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 CENTER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-7268
Mailing Address - Country:US
Mailing Address - Phone:712-330-3196
Mailing Address - Fax:
Practice Address - Street 1:2714 CENTER LAKE DR
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-7268
Practice Address - Country:US
Practice Address - Phone:712-330-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist