Provider Demographics
NPI:1740220862
Name:STOREY, HELEN CECILE (LMT)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:CECILE
Last Name:STOREY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:CECILE
Other - Last Name:JAMES-STOREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:4810 NW 36TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5963
Mailing Address - Country:US
Mailing Address - Phone:352-262-4906
Mailing Address - Fax:
Practice Address - Street 1:4810 NW 36TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5963
Practice Address - Country:US
Practice Address - Phone:352-262-4906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA66658225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC2709OtherBCBS OF FL