Provider Demographics
NPI:1912328667
Name:AYRES, CAITLIN (DPT)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:AYRES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:GIESLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4401 LONG PRAIRIE RD
Mailing Address - Street 2:#300
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1794
Mailing Address - Country:US
Mailing Address - Phone:972-691-1331
Mailing Address - Fax:972-691-1731
Practice Address - Street 1:4401 LONG PRAIRIE RD
Practice Address - Street 2:#300
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1794
Practice Address - Country:US
Practice Address - Phone:972-691-1331
Practice Address - Fax:972-691-1731
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1239667225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist