Provider Demographics
NPI:1508497876
Name:ALEXANDER, CAITLIN MARIE (PT, DPT, CAFS)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:MARIE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:PT, DPT, CAFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W MOORHEAD CIR APT 3E
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6128
Mailing Address - Country:US
Mailing Address - Phone:540-294-2212
Mailing Address - Fax:
Practice Address - Street 1:625 MAIN ST STE 1B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1893
Practice Address - Country:US
Practice Address - Phone:720-710-8136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.00167982251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports