Healthcare Provider Details

I. General information

NPI: 1922944776
Provider Name (Legal Business Name): HEARTY STRUCK PARNTERSHIP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7936 E ARAPAHOE CT STE 1800
CENTENNIAL CO
80112-6823
US

IV. Provider business mailing address

7936 E ARAPAHOE CT STE 1800
CENTENNIAL CO
80112-6823
US

V. Phone/Fax

Practice location:
  • Phone: 720-647-5768
  • Fax:
Mailing address:
  • Phone: 720-647-5768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: BAMBI STRUCK
Title or Position: MEDICAL DIRECTOR
Credential: NP
Phone: 720-647-5768