Healthcare Provider Details

I. General information

NPI: 1831778372
Provider Name (Legal Business Name): KELLY A HECHT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLY HECHT DPT

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LARAMIE DR
BOZEMAN MT
59718-2005
US

IV. Provider business mailing address

60 ROLLING GLEN LOOP
THREE FORKS MT
59752-8676
US

V. Phone/Fax

Practice location:
  • Phone: 406-587-0122
  • Fax:
Mailing address:
  • Phone: 815-830-5155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number32863
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: