Provider Demographics
NPI:1558733071
Name:HYLAND, CAITLIN ELIZABETH (LMT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:HYLAND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 CHAPEL DRIVE
Mailing Address - Street 2:PO BOX 220
Mailing Address - City:BELLE VALLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43717
Mailing Address - Country:US
Mailing Address - Phone:740-509-2317
Mailing Address - Fax:
Practice Address - Street 1:5131 POST RD
Practice Address - Street 2:SUITE 365
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1160
Practice Address - Country:US
Practice Address - Phone:740-509-2317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.017170225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist