Provider Demographics
NPI:1396986055
Name:ZIMMER, CAITLIN RICHTER (DC)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:RICHTER
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 RESEARCH FOREST DR STE 325
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1559
Mailing Address - Country:US
Mailing Address - Phone:925-788-8567
Mailing Address - Fax:
Practice Address - Street 1:8000 RESEARCH FOREST DR STE 325
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1559
Practice Address - Country:US
Practice Address - Phone:281-651-5794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor