Provider Demographics
NPI:1780814657
Name:HELMEID, KATIE MARIE (MA OTR/L)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:MARIE
Last Name:HELMEID
Suffix:
Gender:F
Credentials:MA OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 HALES TRL
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53074-1353
Mailing Address - Country:US
Mailing Address - Phone:602-501-3271
Mailing Address - Fax:
Practice Address - Street 1:1018 HALES TRL
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:WI
Practice Address - Zip Code:53074-1353
Practice Address - Country:US
Practice Address - Phone:602-501-3271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6851-26225X00000X
AZ4392225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist