Provider Demographics
NPI:1770986358
Name:HELMUTH, BRITNEY
Entity type:Individual
Prefix:MS
First Name:BRITNEY
Middle Name:
Last Name:HELMUTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CONGRESSIONAL WAY
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3397 COUNTY HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:SIGEL
Practice Address - State:IL
Practice Address - Zip Code:62462-1097
Practice Address - Country:US
Practice Address - Phone:217-663-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-26
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.010746225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist