Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Marie Etheridge

Individual provider Occupational Therapist · NPI 1225845993

Kaitlyn Marie Etheridge is an Occupational Therapist in Supply, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

58 Physicians Dr NW
Supply, NC 28462-4215
Phone: (910) 755-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1225845993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address30 Talford Dr, Wendell, NC 27591-7586

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