Individual
DR. CAITLYN CHRISTINE TIVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
979 E VALLEY RD APT 303, BASALT, CO 81621-7611
(815) 814-3786
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12510
MN
225100000X
Physical Therapist
1285482
TX
225100000X
Physical Therapist
180422
AK
225100000X
Physical Therapist
2399
SD
225100000X
Physical Therapist
301152
CA
225100000X
Physical Therapist
40QA02061400
NJ
225100000X
Physical Therapist
5501021642
MI
225100000X
Physical Therapist
PT-2112
WY
225100000X
Physical Therapist
PT-5269
HI
225100000X
Physical Therapist
PT38209
FL
2251X0800X
Orthopedic Physical Therapist
Primary
0015282
CO
Other
Enumeration date
01/09/2017
Last updated
03/15/2022
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