Provider Demographics
NPI:1780828632
Name:HOECK, REBECCA POWLEY (PT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:POWLEY
Last Name:HOECK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12081 BAY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-5751
Mailing Address - Country:US
Mailing Address - Phone:303-808-9807
Mailing Address - Fax:
Practice Address - Street 1:12081 BAY OAKS CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-5751
Practice Address - Country:US
Practice Address - Phone:303-808-9807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94842251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic