Provider Demographics
NPI:1134882780
Name:HELSEL, MICHELE (OTR/L)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:HELSEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:WISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:17009 W 83RD TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-8135
Mailing Address - Country:US
Mailing Address - Phone:913-530-6758
Mailing Address - Fax:
Practice Address - Street 1:900 NW WOODS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-2616
Practice Address - Country:US
Practice Address - Phone:816-229-3869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-03778225X00000X
MO2021021766225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist