Provider Demographics
NPI:1639868441
Name:HELSEL, CHRISTINE (BCTMB, LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HELSEL
Suffix:
Gender:F
Credentials:BCTMB, LMT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4126 GAGE WAY
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-7554
Mailing Address - Country:US
Mailing Address - Phone:937-672-8907
Mailing Address - Fax:
Practice Address - Street 1:4126 GAGE WAY
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-7554
Practice Address - Country:US
Practice Address - Phone:937-672-8907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.026064225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist