Provider Demographics
NPI:1073316493
Name:CALDWELL, ADRIENNE CAIRN (CMT, COMT, NCRT)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:CAIRN
Last Name:CALDWELL
Suffix:
Gender:
Credentials:CMT, COMT, NCRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12455 RIDGEDALE DRIVE, STE 203
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305
Mailing Address - Country:US
Mailing Address - Phone:952-314-7035
Mailing Address - Fax:
Practice Address - Street 1:12455 RIDGEDALE DRIVE, STE 203
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1786
Practice Address - Country:US
Practice Address - Phone:952-314-7035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist