Healthcare Provider Details

I. General information

NPI: 1144754383
Provider Name (Legal Business Name): CAITLIN YAUCH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 ALEXANDRIA PIKE STE 100
HIGHLAND HEIGHTS KY
41076-1530
US

IV. Provider business mailing address

560 S LOOP RD
EDGEWOOD KY
41017-3405
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-2663
  • Fax:
Mailing address:
  • Phone: 859-301-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009282
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: