Provider Demographics
NPI:1396855045
Name:HJELT, DUANE (PT)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:
Last Name:HJELT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 E BECK LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1813
Mailing Address - Country:US
Mailing Address - Phone:602-686-1953
Mailing Address - Fax:
Practice Address - Street 1:5810 E BECK LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1813
Practice Address - Country:US
Practice Address - Phone:602-686-1953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6885OtherLICENSE #