MEDICARE: ELEANOR HICKERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9743	CO

General Provider Information

NPI Number	:	1154515534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEANOR HICKERSON

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 W
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	972-725-6673
Fax Number	:	214-775-4406

Provider Business Practice Location Address
First Line	:	2620 E PROSPECT RD
Second Line	:	SUITE 160
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9098
Country	:	US
Telephone Number	:	970-221-5811
Fax Number	:	970-221-5817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

Similar Medicare Providers

1871602664 — MS. CONNIE MALLO RANDAZZO CNS
Practice Location Address:

2620 E PROSPECT RD , SUITE 190
FORT COLLINS, CO
80525-9098

Practice Phone: 970-221-1106
Practice Fax: 970-232-1050

1003931536 — BONNIE L DOWNEY P.T.
Practice Location Address:

2620 E PROSPECT RD , SUITE 160
FORT COLLINS, CO
80525-9098

Practice Phone: 615-778-4066
Practice Fax:

1568588945 — LAURIE JOHNSON P.T.
Practice Location Address:

2620 E PROSPECT RD , STE 160
FORT COLLINS, CO
80525-9098

Practice Phone: 615-778-4066
Practice Fax:

1386850915 — KEITH A MEIER N.P.
Practice Location Address:

2620 E PROSPECT RD , SUITE 160
FORT COLLINS, CO
80525-9098

Practice Phone: 615-778-4066
Practice Fax:

1609065531 — AMERICAN CURRENT CARE PA PC
Practice Location Address:

2620 E. PROSPECT ROAD , SUITE 160
FT. COLLINS, CO
80525-9098

Practice Phone: 970-221-5811
Practice Fax: 970-221-5817

1538344668 — DR. SUZANNE BLAISING PHD
Practice Location Address:

2620 E PROSPECT RD STE 190
FORT COLLINS, CO
80525-9098

Practice Phone: 312-944-3565
Practice Fax:

Directions to “ ELEANOR HICKERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.