Provider Demographics
NPI:1316388150
Name:HELTON, EMILY A (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:HELTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:STUCKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:625 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-8813
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3101 RECREATION DR
Practice Address - Street 2:SUITE 130
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-6107
Practice Address - Country:US
Practice Address - Phone:636-239-9979
Practice Address - Fax:636-239-5442
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013023361225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist