Provider Demographics
NPI:1356059471
Name:BAXA-HELMICK, DELANEY (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:BAXA-HELMICK
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:DELANEY
Other - Middle Name:
Other - Last Name:BAXA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:2285 DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8643
Mailing Address - Country:US
Mailing Address - Phone:406-439-6937
Mailing Address - Fax:
Practice Address - Street 1:2285 DEERFIELD LN
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8643
Practice Address - Country:US
Practice Address - Phone:406-439-6937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOTP-OT-LIC-9514225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist