Provider Demographics
NPI:1770357600
Name:HELMVILLE PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:HELMVILLE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-249-2823
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:HELMVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59843-0066
Mailing Address - Country:US
Mailing Address - Phone:406-249-2823
Mailing Address - Fax:
Practice Address - Street 1:201 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HELMVILLE
Practice Address - State:MT
Practice Address - Zip Code:59843-9153
Practice Address - Country:US
Practice Address - Phone:406-249-2823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty