Healthcare Provider Details

I. General information

NPI: 1669046322
Provider Name (Legal Business Name): KAITLIN NICOLE SPINDLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date: 03/04/2024
Reactivation Date: 08/25/2025

III. Provider practice location address

PO BOX 132
ATHENS OH
45701-0132
US

IV. Provider business mailing address

110 HIGHLAND AVE
CIRCLEVILLE OH
43113-1208
US

V. Phone/Fax

Practice location:
  • Phone: 800-321-8293
  • Fax: 800-321-8293
Mailing address:
  • Phone: 740-477-1745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: