Provider Demographics
NPI:1033968813
Name:GILLEO, HELEN MICHELLE (PT)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:MICHELLE
Last Name:GILLEO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHELLI
Other - Middle Name:
Other - Last Name:GILLEO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1976 SOUTHVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-9279
Mailing Address - Country:US
Mailing Address - Phone:502-457-5811
Mailing Address - Fax:
Practice Address - Street 1:102 LEONARDWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-6500
Practice Address - Country:US
Practice Address - Phone:502-223-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004023225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist