Provider Demographics
NPI:1841575305
Name:HECKER, EMILY (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:HECKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 KEHRS MILL RD
Mailing Address - Street 2:SUITE 325-2
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2462
Mailing Address - Country:US
Mailing Address - Phone:636-590-6943
Mailing Address - Fax:
Practice Address - Street 1:930 KEHRS MILL RD
Practice Address - Street 2:SUITE 325-2
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2462
Practice Address - Country:US
Practice Address - Phone:636-590-6943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011012155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor