Provider Demographics
NPI:1477959658
Name:WALKER, CAITLIN EMILEE (DC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:EMILEE
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:823 APPLETON CT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6905
Mailing Address - Country:US
Mailing Address - Phone:760-560-8824
Mailing Address - Fax:
Practice Address - Street 1:26302 LA PAZ RD STE 214
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5328
Practice Address - Country:US
Practice Address - Phone:949-359-8385
Practice Address - Fax:949-359-8386
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7042255A2300X
CADC36503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer