Provider Demographics
NPI:1295367548
Name:HELFRICH HOLDINGS LLC
Entity Type:Organization
Organization Name:HELFRICH HOLDINGS LLC
Other - Org Name:TAILOR MADE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HELFRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:314-775-1102
Mailing Address - Street 1:203 ELLINGTON CT
Mailing Address - Street 2:
Mailing Address - City:GLEN CARBON
Mailing Address - State:IL
Mailing Address - Zip Code:62034-1360
Mailing Address - Country:US
Mailing Address - Phone:314-775-1102
Mailing Address - Fax:
Practice Address - Street 1:300 JARVIS CT STE 6
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:IL
Practice Address - Zip Code:62294-1155
Practice Address - Country:US
Practice Address - Phone:314-775-1102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy