Provider Demographics
NPI:1861845117
Name:LANDT, CAITLIN A (DC)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:A
Last Name:LANDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 BROAD ST.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:STORY CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50248
Mailing Address - Country:US
Mailing Address - Phone:641-750-0580
Mailing Address - Fax:515-733-2053
Practice Address - Street 1:628 BROAD ST.
Practice Address - Street 2:SUITE 3
Practice Address - City:STORY CITY
Practice Address - State:IA
Practice Address - Zip Code:50248
Practice Address - Country:US
Practice Address - Phone:515-733-2050
Practice Address - Fax:515-733-2053
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor