Healthcare Provider Details

I. General information

NPI: 1831663400
Provider Name (Legal Business Name): CAITLIN WALKER WEST DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7909 PAT BOOKER RD
LIVE OAK TX
78233-2602
US

IV. Provider business mailing address

12952 BANDERA RD STE 107
HELOTES TX
78023-4733
US

V. Phone/Fax

Practice location:
  • Phone: 210-653-2400
  • Fax: 210-653-2422
Mailing address:
  • Phone: 210-653-2400
  • Fax: 210-653-2422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1281082
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1281082
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: