Provider Demographics
NPI:1194774786
Name:HELMINSKI, AMY JO (PT MS OCS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:HELMINSKI
Suffix:
Gender:F
Credentials:PT MS OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 52ND ST STE 240
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-3423
Mailing Address - Country:US
Mailing Address - Phone:262-925-2190
Mailing Address - Fax:262-925-5001
Practice Address - Street 1:S74W17045 JANESVILLE RD
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-9701
Practice Address - Country:US
Practice Address - Phone:414-422-4678
Practice Address - Fax:414-422-4735
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3559024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40381600Medicaid