Individual
CHAD E HELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1512 NE 96TH ST, STE A, LIBERTY, MO 64068-7174
(816) 792-0775
(816) 792-0776
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112594
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26735101
BCBS KC
—
01
—
MA4370012
MEDICARE PTAN
MO
Enumeration date
05/17/2006
Last updated
01/21/2014
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