Provider Demographics
NPI:1881757573
Name:KEHRMAN, HELENE LYNNE (PT)
Entity type:Individual
Prefix:MS
First Name:HELENE
Middle Name:LYNNE
Last Name:KEHRMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 RADIO BLVD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-6423
Mailing Address - Country:US
Mailing Address - Phone:575-706-6051
Mailing Address - Fax:575-234-1906
Practice Address - Street 1:1807 RADIO BLVD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-6423
Practice Address - Country:US
Practice Address - Phone:575-706-6051
Practice Address - Fax:575-234-1906
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM99-0065Medicare ID - Type UnspecifiedPHYSICAL THERAPY