| Doctor Name: | JILLALICE HOAKISON |
| NPI Number: | 1265886121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 004209 |
| Business Practice Address: | 5950 University Ave Suite 285 West Des Moines, IA - 502668216 |
| Business Phone Number: | 5158759706 |
| Business Fax Number: | |
| Mailing Address: | 6800 Lake Dr, Suite 250 WEST DES MOINES |
| State: | IA |
| Postal Code: | 502662500 |
| Phone Number: | 5158759925 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2016 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 004209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |