Provider Demographics
NPI:1801606488
Name:16:24 THERAPY
Entity type:Organization
Organization Name:16:24 THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:HACKER-KEELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-344-5248
Mailing Address - Street 1:140 RANGER ST
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79045-4112
Mailing Address - Country:US
Mailing Address - Phone:806-344-5248
Mailing Address - Fax:
Practice Address - Street 1:140 RANGER ST
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:TX
Practice Address - Zip Code:79045-4112
Practice Address - Country:US
Practice Address - Phone:806-344-5248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech