MEDICARE: CAITLIN MAUREEN BUBEL PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT-2616	WY

General Provider Information

NPI Number	:	1699607440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN MAUREEN BUBEL PT, DPT

Provider Business Mailing Address
First Line	:	196 ARROWHEAD DR STE 3
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-8752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	196 ARROWHEAD DR STE 3
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-8752
Country	:	US
Telephone Number	:	307-783-8220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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