Provider Demographics
NPI:1669046322
Name:SPINDLER, KAITLIN NICOLE
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:NICOLE
Last Name:SPINDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1208
Mailing Address - Country:US
Mailing Address - Phone:740-477-1745
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 132
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-0132
Practice Address - Country:US
Practice Address - Phone:800-321-8293
Practice Address - Fax:800-321-8293
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2025-09-11
Deactivation Date:2024-03-04
Deactivation Code:
Reactivation Date:2025-08-25
Provider Licenses
StateLicense IDTaxonomies
OH225400000X
171M00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator