Healthcare Provider Details

I. General information

NPI: 1487440178
Provider Name (Legal Business Name): HORIZON HEARING & TINNITUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 E ALDER ST STE 2
WALLA WALLA WA
99362-2073
US

IV. Provider business mailing address

614 E ALDER ST STE 2
WALLA WALLA WA
99362-2073
US

V. Phone/Fax

Practice location:
  • Phone: 509-876-0556
  • Fax: 509-876-0556
Mailing address:
  • Phone: 509-876-0555
  • Fax: 509-876-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY KATHLEEN JACKY
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 509-200-1590