Provider Demographics
NPI:1376799122
Name:HELSINGER, KATHY (LMT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:HELSINGER
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 1:1231 DEEPWELL RD
Mailing Address - Street 2:
Mailing Address - City:NETTIE
Mailing Address - State:WV
Mailing Address - Zip Code:26681-4547
Mailing Address - Country:US
Mailing Address - Phone:304-846-8086
Mailing Address - Fax:
Practice Address - Street 1:215 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:GASSAWAY
Practice Address - State:WV
Practice Address - Zip Code:26624-9333
Practice Address - Country:US
Practice Address - Phone:304-364-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2005-1849225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist