Provider Demographics
NPI:1760432835
Name:HECKER, ROBERT P (MSPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:HECKER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 GROVE RD
Mailing Address - Street 2:SUTIE F
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4623
Mailing Address - Country:US
Mailing Address - Phone:864-222-5128
Mailing Address - Fax:864-271-2599
Practice Address - Street 1:1003 GROVE RD
Practice Address - Street 2:SUITE F
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4623
Practice Address - Country:US
Practice Address - Phone:864-233-5128
Practice Address - Fax:864-271-2599
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPT4585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP26917Medicare UPIN