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NPI Code Detail

MEDICARE: CAYLIN ALEXANDRA SIEVERS

MEDICARE: CAYLIN ALEXANDRA SIEVERS
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
12255A2300XAthletic Trainer36004162AIN

General Provider Information

NPI Number : 1164238135
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAYLIN ALEXANDRA SIEVERS
Provider Business Mailing Address
First Line : 3946 ICE WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-1018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3946 ICE WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-1018
Country : US
Telephone Number : 260-579-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 06/17/2026

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Directions to “ CAYLIN ALEXANDRA SIEVERS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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