Provider Demographics
NPI:1356770572
Name:HELSEL, RODDIE JAROD (OTR/L)
Entity type:Individual
Prefix:
First Name:RODDIE
Middle Name:JAROD
Last Name:HELSEL
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:MI
Mailing Address - Zip Code:49635-9745
Mailing Address - Country:US
Mailing Address - Phone:231-352-9674
Mailing Address - Fax:
Practice Address - Street 1:210 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:MI
Practice Address - Zip Code:49635-9745
Practice Address - Country:US
Practice Address - Phone:231-352-9674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008131225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist