Provider Demographics
NPI:1225071889
Name:HEARD, CHRISTOPHER JOSEPH (ATC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:HEARD
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:2120 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4906
Mailing Address - Country:US
Mailing Address - Phone:406-491-3197
Mailing Address - Fax:406-723-2544
Practice Address - Street 1:400 S CLARK ST
Practice Address - Street 2:MONTANA SPORTS MEDICINE
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2328
Practice Address - Country:US
Practice Address - Phone:406-723-2549
Practice Address - Fax:406-723-2544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer