Healthcare Provider Details

I. General information

NPI: 1750904546
Provider Name (Legal Business Name): KAITLIN K DAUBERT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W 14TH ST
CHATTANOOGA TN
37402-4403
US

IV. Provider business mailing address

7240 GREGORY DR
OOLTEWAH TN
37363-2507
US

V. Phone/Fax

Practice location:
  • Phone: 423-690-7220
  • Fax:
Mailing address:
  • Phone: 423-690-7220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15364
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: