Provider Demographics
NPI:1376894964
Name:HELTON, LEAH J (OT)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:J
Last Name:HELTON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:J
Other - Last Name:BONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:1025 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-8645
Mailing Address - Country:US
Mailing Address - Phone:606-789-5808
Mailing Address - Fax:606-789-6412
Practice Address - Street 1:1025 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-8645
Practice Address - Country:US
Practice Address - Phone:606-789-5808
Practice Address - Fax:606-789-6412
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4120225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist