Provider Demographics
NPI:1508266339
Name:HANCOCK, KASEY ANN (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:ANN
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 SUMMIT CROSSING LN APT 7108
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-0024
Mailing Address - Country:US
Mailing Address - Phone:803-459-6262
Mailing Address - Fax:
Practice Address - Street 1:1720 SUMMIT CROSSING LN APT 7108
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-0024
Practice Address - Country:US
Practice Address - Phone:803-459-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program