Provider Demographics
NPI:1982487815
Name:BARNICKEL, CAITLIN ANN (OTR)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ANN
Last Name:BARNICKEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 CENTERPOINT LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2500
Mailing Address - Country:US
Mailing Address - Phone:925-705-5376
Mailing Address - Fax:
Practice Address - Street 1:602 CENTERPOINT LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-2500
Practice Address - Country:US
Practice Address - Phone:925-705-5376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist