JACK KIDWELL
Physical Therapist
Active
Individual
NPI: 1659504868
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT9064 (OH) |
| Clinic/Center - Physical Therapy | 261QP2000X | No | PT9064 (OH) |
Frequently Asked Questions
NPI 1659504868 is the National Provider Identifier for JACK KIDWELL, a Physical Therapist provider located in Middleburg Heights, OH. This NPI was enumerated on September 3, 2009.
JACK KIDWELL practices at 18697 BAGLEY RD, Middleburg Heights, OH 44130.
Quick Facts
- NPI
- 1659504868
- Type
- Individual
- Enumerated
- Sep 3, 2009
- Last Updated
- Apr 14, 2016
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