Most Relevant Information
Provider Data
| NPI Number: | 1003433673 |
| Provider Name: | KERRY CADDELL PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT018692 |
Most Important Dates
| Enumeration Date: | 06/30/2020 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
6210 CLEVES WARSAW PIKE
CINCINNATI
OH
452334510
Practice Location Phone/Fax
| Phone: | 5139410099 |
| Fax: |
Provider Mailing Location
5809 GOLD DUST DR
CINCINNATI
OH
452475994
Provider Mailing Phone/Fax
| Phone: | 5134035435 |
| Fax: |