Individual
KAITLYN MERSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015902A
IN
2251P0200X
Pediatric Physical Therapist
Primary
43095
CA
Other
Enumeration date
11/09/2015
Last updated
05/08/2026
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