Healthcare Provider Details

I. General information

NPI: 1326934548
Provider Name (Legal Business Name): HARRISON HESS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S FRONTAGE RD W
VAIL CO
81657-5038
US

IV. Provider business mailing address

1991 ROLLING BROOK LN
RENO NV
89519-8325
US

V. Phone/Fax

Practice location:
  • Phone: 970-476-2451
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPTL.0020654
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: