Provider Demographics
NPI:1255763694
Name:HAUGHT, KAITLYN BROOKE (DPT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:BROOKE
Last Name:HAUGHT
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 1:994 ASHTON PL
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-6874
Mailing Address - Country:US
Mailing Address - Phone:304-687-3385
Mailing Address - Fax:
Practice Address - Street 1:994 ASHTON PL
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-6874
Practice Address - Country:US
Practice Address - Phone:304-687-3385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist