Provider Demographics
NPI:1235503996
Name:PHILLIPS, HELEN (LLMT)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:LLMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PARSONAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1246
Mailing Address - Country:US
Mailing Address - Phone:603-401-4418
Mailing Address - Fax:
Practice Address - Street 1:33 PARSONAGE HILL RD
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1246
Practice Address - Country:US
Practice Address - Phone:603-401-4418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9747225700000X
NH2188M225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist