Long, Caitlyn

Long, Caitlyn is an individual health care provider with primary practice located at 201 Tahoma Blvd Ste 207, Yelm WA 98597-7735. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Long, Caitlyn can be contacted via phone (360) 458-6400.

Contact Information

Primary practice address
201 Tahoma Blvd Ste 207 Yelm WA 98597-7735
Phone: (360) 458-6400
Fax: (360) 458-6444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 60419471 Washington

Profile Details

NPI number 1083043459
LBN Legal business name Long, Caitlyn
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Jul 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083043459 NPPES
Washington MEDICAID 1083043459
Washington Other 0319980

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