Individual
KAITLYN LUIDHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
20311 PEMBERVILLE RD, PEMBERVILLE, OH 43450-9413
(419) 833-8928
Mailing address
10676 SIMONDS RD, BOWLING GREEN, OH 43402-9603
(419) 352-9290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA014094
OH
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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