Provider Demographics
NPI:1841484151
Name:HELMER, KALENA LYNN (LPT)
Entity type:Individual
Prefix:
First Name:KALENA
Middle Name:LYNN
Last Name:HELMER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:KALENA
Other - Middle Name:LYNN
Other - Last Name:INGRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPT
Mailing Address - Street 1:PO BOX 2500
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087
Mailing Address - Country:US
Mailing Address - Phone:972-771-0999
Mailing Address - Fax:972-771-2281
Practice Address - Street 1:5501 GORDON SMITH DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-4006
Practice Address - Country:US
Practice Address - Phone:972-475-5122
Practice Address - Fax:972-475-1299
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1171290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165348701Medicaid
TX8T7630OtherBCBS
456643Medicare PIN