Individual
KAITLYN MARIE GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
120 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 701-1821
Mailing address
304 FOREST DR, MOUNTAIN HOME, AR 72653-3311
(501) 358-2091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP005096T
GA
225100000X
Physical Therapist
Primary
PT4658
AR
Other
Enumeration date
06/25/2014
Last updated
11/03/2022
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