Provider Demographics
NPI:1427603885
Name:CALDWELL, CAYLEE A (DT)
Entity Type:Individual
Prefix:MS
First Name:CAYLEE
Middle Name:A
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-9279
Mailing Address - Country:US
Mailing Address - Phone:815-579-0324
Mailing Address - Fax:
Practice Address - Street 1:601 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60404-9279
Practice Address - Country:US
Practice Address - Phone:815-579-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist