Individual
KACY SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
20063 SR 410 E, BONNEY LAKE, WA 98391-8460
(253) 447-8562
(253) 447-8562
Mailing address
PO BOX 8352, BONNEY LAKE, WA 98391-0101
(253) 447-8562
(253) 987-5308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60712242
WA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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