Provider Demographics
NPI:1770527822
Name:HELSTROM, SHARMAN CLARK (PT)
Entity type:Individual
Prefix:MRS
First Name:SHARMAN
Middle Name:CLARK
Last Name:HELSTROM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHARMAN
Other - Middle Name:JEAN
Other - Last Name:CLARK-LETOURNEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2240
Mailing Address - Country:US
Mailing Address - Phone:207-769-2160
Mailing Address - Fax:207-769-2161
Practice Address - Street 1:5 NORTH ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2240
Practice Address - Country:US
Practice Address - Phone:207-769-2160
Practice Address - Fax:207-769-2161
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEME0251Medicare ID - Type Unspecified