Provider Demographics
NPI:1073589776
Name:HECK, KALEY (PT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:KALEY
Middle Name:
Last Name:HECK
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:MS
Other - First Name:KALEY
Other - Middle Name:
Other - Last Name:ABATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:1846 COUNTRY BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-1115
Mailing Address - Country:US
Mailing Address - Phone:856-327-0241
Mailing Address - Fax:
Practice Address - Street 1:76 W JIMMIE LEEDS RD
Practice Address - Street 2:76 WEST PARK CENTER, SUITE 401
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9411
Practice Address - Country:US
Practice Address - Phone:609-748-5193
Practice Address - Fax:609-748-5197
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00930600225100000X
NJ25MT001227002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer