Healthcare Provider Details

I. General information

NPI: 1366994295
Provider Name (Legal Business Name): KATHERINE HOAK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 05/13/2022
Certification Date: 05/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 MAHASKA DR
IOWA CITY IA
52246-1606
US

IV. Provider business mailing address

226 MAHASKA DR
IOWA CITY IA
52246-1606
US

V. Phone/Fax

Practice location:
  • Phone: 319-325-5254
  • Fax:
Mailing address:
  • Phone: 319-325-5254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070022071
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: