Kaitlyn M Kavanaugh, DPT
Physical Therapist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1497453047
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1497453047
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn M Kavanaugh
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | IN | Yes |
Practice location
5265 E 82nd St Ste 200Indianapolis, IN 46250-1627
Phone 317-542-3723 · Fax 317-999-9660
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
Phone 630-575-1980 · Fax 630-928-5080
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