Healthcare Provider Details

I. General information

NPI: 1114842010
Provider Name (Legal Business Name): HAILEY JO COHOON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAILEY TEN PAS

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6415 N MONROE ST
SPOKANE WA
99208-4121
US

IV. Provider business mailing address

6415 N MONROE ST
SPOKANE WA
99208-4121
US

V. Phone/Fax

Practice location:
  • Phone: 509-327-4867
  • Fax: 509-327-0542
Mailing address:
  • Phone: 509-327-4867
  • Fax: 509-327-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70136865
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: