Provider Demographics
NPI:1285770354
Name:HESS, GEORGE G III (DPT)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:G
Last Name:HESS
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 PINE HOLLOW RD
Mailing Address - Street 2:KENMAWR PLAZA
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1661
Mailing Address - Country:US
Mailing Address - Phone:412-771-1055
Mailing Address - Fax:412-771-2256
Practice Address - Street 1:566 PINE HOLLOW RD
Practice Address - Street 2:KENMAWR PLAZA
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1661
Practice Address - Country:US
Practice Address - Phone:412-771-1055
Practice Address - Fax:412-771-2256
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001437054OtherBS PROVIDER NUMBER
PA001437054OtherBS PROVIDER NUMBER