MEDICARE: DUANE HJELT PT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6885	OTHER	AZ	LICENSE #

General Provider Information

NPI Number	:	1396855045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUANE HJELT PT

Provider Business Mailing Address
First Line	:	6336 BUCHANAN ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5810
Country	:	US
Telephone Number	:	970-682-4460
Fax Number	:	970-281-4129

Provider Business Practice Location Address
First Line	:	6336 BUCHANAN ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5810
Country	:	US
Telephone Number	:	970-682-4460
Fax Number	:	970-281-4129

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/20/2026

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Directions to “ DUANE HJELT PT” Practice Location

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