Provider Demographics
NPI:1093141509
Name:BRINKER, CAITLIN MARY STILLMANK (DPT)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN MARY
Middle Name:STILLMANK
Last Name:BRINKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:MARY
Other - Last Name:STILLMANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2900 W OKLAHOMA AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215
Mailing Address - Country:US
Mailing Address - Phone:414-649-6000
Mailing Address - Fax:
Practice Address - Street 1:2900 W OKLAHOMA AVENUE
Practice Address - Street 2:THERAPY DEPARTMENT
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215
Practice Address - Country:US
Practice Address - Phone:414-649-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12331-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist