Healthcare Provider Details

I. General information

NPI: 1730042813
Provider Name (Legal Business Name): CAITLIN MARY EDWARDS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 HOOKSETT RD UNIT 20
MANCHESTER NH
03104-2654
US

IV. Provider business mailing address

59 PONEMAH HILL RD
MILFORD NH
03055-8955
US

V. Phone/Fax

Practice location:
  • Phone: 603-232-5186
  • Fax: 603-622-3199
Mailing address:
  • Phone: 603-557-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number8296
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: