Provider Demographics
NPI:1306388236
Name:NAAS, CAITLIN M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:M
Last Name:NAAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 SAN MARCO BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8566
Mailing Address - Country:US
Mailing Address - Phone:904-686-3111
Mailing Address - Fax:904-686-3140
Practice Address - Street 1:12961 N MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2771
Practice Address - Country:US
Practice Address - Phone:904-757-2474
Practice Address - Fax:904-757-5541
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist