Organization
HECKER SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HECKER (OWNER)
(970) 631-8877
Entity
Organization
Contact information
Practice address
2315 E HARMONY RD STE 130, FORT COLLINS, CO 80528-8620
(970) 631-8877
Mailing address
2315 E HARMONY RD STE 130, FORT COLLINS, CO 80528-8620
(970) 631-8877
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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