Healthcare Provider Details

I. General information

NPI: 1902728264
Provider Name (Legal Business Name): CAITLYN ANDERSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S UNIVERSITY AVE
ST GEORGE UT
84770-3875
US

IV. Provider business mailing address

2037 N VISTA SPRINGS DR
WASHINGTON UT
84780-8632
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-8681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14205433-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: