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NPI Code Detail

MEDICARE: JOSHUA HEUCK DPT

MEDICARE: JOSHUA HEUCK DPT
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
1225100000XPhysical Therapist13086SC

General Provider Information

NPI Number : 1871471326
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA HEUCK DPT
Provider Business Mailing Address
First Line : 1429 BRYANT ST STE A
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5201
Country : US
Telephone Number : 704-919-0867
Fax Number :
Provider Business Practice Location Address
First Line : 857 PROMENADE WALK
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6992
Country : US
Telephone Number : 803-547-1133
Fax Number : 803-547-1213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2025
Last Update Date : 09/10/2025

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