Healthcare Provider Details

I. General information

NPI: 1275165326
Provider Name (Legal Business Name): CAITLIN REDLINGER PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 N SHERMAN ST STE 315
DENVER CO
80203-3529
US

IV. Provider business mailing address

6971 AVRUM DR
DENVER CO
80221-8103
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-4485
  • Fax:
Mailing address:
  • Phone: 319-458-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number0014757
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: