Provider Demographics
NPI:1700654266
Name:CASSIDY, HELEN E (LMT, YOGA THERAPY)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:E
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:LMT, YOGA THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 SPAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-7855
Mailing Address - Country:US
Mailing Address - Phone:504-944-3190
Mailing Address - Fax:
Practice Address - Street 1:830 SPAIN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-7855
Practice Address - Country:US
Practice Address - Phone:504-944-3190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA1077225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist