Provider Demographics
NPI:1588489165
Name:HELT, MATTHEW (PCC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:HELT
Suffix:
Gender:M
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4554 POPPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2044
Mailing Address - Country:US
Mailing Address - Phone:402-415-9378
Mailing Address - Fax:
Practice Address - Street 1:2808 S 80TH AVE STE 160
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3200
Practice Address - Country:US
Practice Address - Phone:402-203-5269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach