Individual
CAITLIN S WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1400 N NORTHWOOD CENTER CT, COEUR D ALENE, ID 83814-2657
(208) 664-8142
Mailing address
1400 N NORTHWOOD CENTER CT, COEUR D ALENE, ID 83814-2657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2063
ID
2251P0200X
Pediatric Physical Therapist
Primary
PT-3224
ID
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3224
IDAHO PHYSICAL THERAPY LICENSE
ID
Enumeration date
02/27/2013
Last updated
05/26/2023
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