Provider Demographics
NPI:1437794799
Name:STOLT, CAITLIN HUBBARD (DPT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:HUBBARD
Last Name:STOLT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 N WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-5254
Mailing Address - Country:US
Mailing Address - Phone:828-489-9255
Mailing Address - Fax:
Practice Address - Street 1:107 N WESTOVER DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5254
Practice Address - Country:US
Practice Address - Phone:828-489-9255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP16297225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist