Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK KIDWELL
Active Sole ProprietorJACK KIDWELL is a Physical Therapy Assistant healthcare provider located in MIDDLEBURG HEIGHTS, Ohio. NPI 1659504868 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MIDDLEBURG HEIGHTS, OH
Registration Details
- NPI Number
- 1659504868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2009 (16.910889094524 yrs)
- Last Updated
- Apr 14, 2016
- Licenses
-
PT9064 (OH)PT9064 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18697 BAGLEY RDMIDDLEBURG HEIGHTS, OH, 441303417Browse OH providers · Browse ZIP 44130
- Phone
- 2169260699
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Clinic
Other Physical Therapy Assistant Providers in MIDDLEBURG HEIGHTS, OH
| Name | Credential | NPI |
|---|---|---|
| LORI A. LABAS | P.T. | 1972581379 |
| MR. DAVID MICHAEL GRAYGO | MPT | 1215993621 |
| RUSSELL SCOTT MAGERS | PT | 1336190800 |
| MRS. CARRIE LYNN HOFFMAN | P.T. | 1518052265 |
| DR. LYNSEY BARON | PT, DPT, CLT | 1346660362 |
| LISA GALLAGHER | PT, DPT | 1477967651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.