Provider Demographics
NPI:1578837498
Name:HELM, JUSTIN KENNETH (DC)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:KENNETH
Last Name:HELM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14134 OAKLAND MILLS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1634
Mailing Address - Country:US
Mailing Address - Phone:210-859-0808
Mailing Address - Fax:
Practice Address - Street 1:14134 OAKLAND MILLS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1634
Practice Address - Country:US
Practice Address - Phone:210-859-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor