Provider Demographics
NPI:1154681930
Name:KEMPLE, DAVID C (PT,DPT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:KEMPLE
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W WACKER DR
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1216
Mailing Address - Country:US
Mailing Address - Phone:312-640-0329
Mailing Address - Fax:312-640-0407
Practice Address - Street 1:8235 E 116TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:FISHERS
Practice Address - State:IL
Practice Address - Zip Code:46038-1554
Practice Address - Country:US
Practice Address - Phone:317-813-2100
Practice Address - Fax:317-813-2101
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008698A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist