Provider Demographics
NPI:1407833114
Name:LOTT, HELGA (PT)
Entity Type:Individual
Prefix:MRS
First Name:HELGA
Middle Name:
Last Name:LOTT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E DESERT INN RD
Mailing Address - Street 2:STE 114
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3206
Mailing Address - Country:US
Mailing Address - Phone:702-734-8642
Mailing Address - Fax:702-734-8912
Practice Address - Street 1:1700 E DESERT INN RD
Practice Address - Street 2:STE 114
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3206
Practice Address - Country:US
Practice Address - Phone:702-734-8642
Practice Address - Fax:702-734-8912
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV42225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV7604OtherBC BS FEP
NVV31748Medicare ID - Type Unspecified
R09763Medicare UPIN