Provider Demographics
NPI:1386253524
Name:HELMLE, TESSA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:
Last Name:HELMLE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SHAVANO DR UNIT 212C
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-9391
Mailing Address - Country:US
Mailing Address - Phone:563-542-8072
Mailing Address - Fax:
Practice Address - Street 1:234 N MAIN ST STE 1A
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2437
Practice Address - Country:US
Practice Address - Phone:970-641-2908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101680225X00000X
COOT.0006777225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist