Provider Demographics
NPI:1902787435
Name:ANEAR, CAITLIN RAE (MT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:RAE
Last Name:ANEAR
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BOUTWELL RD N
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-4520
Mailing Address - Country:US
Mailing Address - Phone:612-328-2740
Mailing Address - Fax:
Practice Address - Street 1:201 BOUTWELL RD N
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-4520
Practice Address - Country:US
Practice Address - Phone:612-328-2740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist