Provider Demographics
NPI:1295303089
Name:HELMEY, KAITLYN NICOLE (ATC)
Entity type:Individual
Prefix:MS
First Name:KAITLYN
Middle Name:NICOLE
Last Name:HELMEY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:NICOLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:699 PECAN LN
Mailing Address - Street 2:
Mailing Address - City:GUYTON
Mailing Address - State:GA
Mailing Address - Zip Code:31312-6554
Mailing Address - Country:US
Mailing Address - Phone:229-815-6490
Mailing Address - Fax:
Practice Address - Street 1:440 MALL BLVD STE C
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4868
Practice Address - Country:US
Practice Address - Phone:912-629-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0043492255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer