Individual
MRS. NICOLE COLLEEN HECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
203 S MAIN ST, THREE FORKS, MT 59752-9111
(406) 285-0626
(406) 285-3500
Mailing address
PO BOX 1180, THREE FORKS, MT 59752-1180
(406) 285-0626
(406) 285-3500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1278
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006191-6
BCBS
MT
05
—
0345032
—
MT
Enumeration date
04/02/2007
Last updated
11/07/2023
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