Provider Demographics
NPI:1245764950
Name:HESCH INSTITUTE
Entity Type:Organization
Organization Name:HESCH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HESCH
Authorized Official - Suffix:SR
Authorized Official - Credentials:MHS, DPT, PT
Authorized Official - Phone:303-366-9445
Mailing Address - Street 1:25837 E MAPLE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-4596
Mailing Address - Country:US
Mailing Address - Phone:303-366-9445
Mailing Address - Fax:303-366-9998
Practice Address - Street 1:25837 E MAPLE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-4596
Practice Address - Country:US
Practice Address - Phone:303-366-9445
Practice Address - Fax:303-366-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-13230261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy