Healthcare Provider Details

I. General information

NPI: 1427353267
Provider Name (Legal Business Name): ELIZABETH HARPER HEICK PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2011
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 W UNIVERSITY AVE
FLAGSTAFF AZ
86001-2892
US

IV. Provider business mailing address

2145 W UNIVERSITY AVE
FLAGSTAFF AZ
86001-2892
US

V. Phone/Fax

Practice location:
  • Phone: 928-266-6112
  • Fax:
Mailing address:
  • Phone: 928-266-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1589
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: