Provider Demographics
NPI:1538751383
Name:HELSLEY, CHEYANNE (COTA/L)
Entity type:Individual
Prefix:
First Name:CHEYANNE
Middle Name:
Last Name:HELSLEY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 SW 100TH PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7019
Mailing Address - Country:US
Mailing Address - Phone:405-431-8881
Mailing Address - Fax:
Practice Address - Street 1:1318 E INDEPENDENCE ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-4137
Practice Address - Country:US
Practice Address - Phone:405-275-1801
Practice Address - Fax:866-347-6279
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1841224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant