Healthcare Provider Details

I. General information

NPI: 1972121713
Provider Name (Legal Business Name): HAILEY CHRISTINE LOYA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SE 172ND AVE
VANCOUVER WA
98684-9542
US

IV. Provider business mailing address

6565 E ZAFFRE RIDGE ST
BOISE ID
83716-3484
US

V. Phone/Fax

Practice location:
  • Phone: 360-882-2778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP19580
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT-8334
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT.PT.70001700
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: