Provider Demographics
NPI:1538560404
Name:BERRY, HELEN SHIH (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:SHIH
Last Name:BERRY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 SUNSET DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-3799
Mailing Address - Country:US
Mailing Address - Phone:423-534-8897
Mailing Address - Fax:423-328-8662
Practice Address - Street 1:1319 SUNSET DR
Practice Address - Street 2:SUITE 102
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-3799
Practice Address - Country:US
Practice Address - Phone:423-534-8897
Practice Address - Fax:423-328-8662
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2729225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist