Provider Demographics
NPI:1528951498
Name:MANGYIK, CAITLYN (LMT)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:MANGYIK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3617 S 825 E
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:IN
Mailing Address - Zip Code:47336-9549
Mailing Address - Country:US
Mailing Address - Phone:765-209-1633
Mailing Address - Fax:
Practice Address - Street 1:1059 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:IN
Practice Address - Zip Code:47336-9401
Practice Address - Country:US
Practice Address - Phone:765-209-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT22207847225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist