Provider Demographics
NPI:1124587969
Name:ELIKH, CAITLYN (OTR/L)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:ELIKH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 S GROVE RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-9031
Mailing Address - Country:US
Mailing Address - Phone:541-784-7336
Mailing Address - Fax:
Practice Address - Street 1:1009 HIGHWAY 2 STE C
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-2713
Practice Address - Country:US
Practice Address - Phone:208-627-8615
Practice Address - Fax:208-441-2641
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOT-2765225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist