Most Relevant Information
Provider Data
| NPI Number: | 1003511411 |
| Provider Name: | CAITLIN SOUTHER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 15019 |
Most Important Dates
| Enumeration Date: | 04/04/2023 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
11201 W POINT DR STE 104
KNOXVILLE
TN
379342834
Practice Location Phone/Fax
| Phone: | 8653926001 |
| Fax: |
Provider Mailing Location
9309 HAVENBROOKE WAY
KNOXVILLE
TN
379224269
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |