Provider Demographics
NPI:1235442708
Name:RHEIN, KIRK MICHAEL (DPT)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:MICHAEL
Last Name:RHEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4936 WUNNENBERG WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4985
Mailing Address - Country:US
Mailing Address - Phone:513-860-5400
Mailing Address - Fax:
Practice Address - Street 1:7782 SERVICE CENTER DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-802-1929
Practice Address - Fax:513-972-7349
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.012801225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist