Provider Demographics
NPI:1942273321
Name:HELMICK, BOBBY RICHARD II (ATC)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:RICHARD
Last Name:HELMICK
Suffix:II
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4120 VENABLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-2414
Mailing Address - Country:US
Mailing Address - Phone:304-925-1450
Mailing Address - Fax:
Practice Address - Street 1:2300 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1045
Practice Address - Country:US
Practice Address - Phone:304-357-4814
Practice Address - Fax:304-357-4989
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer