Healthcare Provider Details

I. General information

NPI: 1942113725
Provider Name (Legal Business Name): CAITLYN PAXMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1358 PASEO VERDE PKWY
HENDERSON NV
89012-5724
US

IV. Provider business mailing address

1019 SANTA HELENA AVE
HENDERSON NV
89002-8909
US

V. Phone/Fax

Practice location:
  • Phone: 702-847-7435
  • Fax:
Mailing address:
  • Phone: 702-908-3642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-3932
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: