Provider Demographics
NPI:1255789376
Name:WAGES, CAITLYN JO (DC)
Entity type:Individual
Prefix:MRS
First Name:CAITLYN
Middle Name:JO
Last Name:WAGES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3250 E BATTLEFIELD ST
Mailing Address - Street 2:SUITE P
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4338
Mailing Address - Country:US
Mailing Address - Phone:471-891-9700
Mailing Address - Fax:
Practice Address - Street 1:3250 E BATTLEFIELD ST
Practice Address - Street 2:SUITE P
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4338
Practice Address - Country:US
Practice Address - Phone:471-891-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016017063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor