Healthcare Provider Details

I. General information

NPI: 1497671796
Provider Name (Legal Business Name): CAITLYN RODEFER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MILL ST
INMAN SC
29349-1531
US

IV. Provider business mailing address

1730 SOUTHWOLD LN
BOILING SPRINGS SC
29316-4843
US

V. Phone/Fax

Practice location:
  • Phone: 423-444-3729
  • Fax:
Mailing address:
  • Phone: 423-444-3729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5305
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: