MEDICARE: DR. CAITLIN NORA NOBLE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	5501018452	MI

General Provider Information

NPI Number	:	1033629324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAITLIN NORA NOBLE PT, DPT

Provider Business Mailing Address
First Line	:	264 FARRAR ST
Second Line	:
City	:	PORT AUSTIN
State	:	MI
Zip	:	48467
Country	:	US
Telephone Number	:	517-375-1908
Fax Number	:	989-803-5904

Provider Business Practice Location Address
First Line	:	8265 N VAN DYKE RD STE 3
Second Line	:
City	:	PORT AUSTIN
State	:	MI
Zip	:	48467-9521
Country	:	US
Telephone Number	:	517-375-1908
Fax Number	:	989-803-5904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	01/23/2026

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