Healthcare Provider Details

I. General information

NPI: 1194180810
Provider Name (Legal Business Name): KACEY HOOB ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E WESTVIEW CT STE A
SPOKANE WA
99218-1376
US

IV. Provider business mailing address

1111 E WESTVIEW CT STE A
SPOKANE WA
99218-1376
US

V. Phone/Fax

Practice location:
  • Phone: 509-559-5038
  • Fax:
Mailing address:
  • Phone: 509-559-5038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.70054960
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberA1.60047748
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: