Provider Demographics
NPI:1598798324
Name:KEHRER, MICHELE A (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:A
Last Name:KEHRER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MR
Other - First Name:MICHELE
Other - Middle Name:A
Other - Last Name:KEHRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:3130 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3117
Mailing Address - Country:US
Mailing Address - Phone:773-989-8791
Mailing Address - Fax:773-728-8719
Practice Address - Street 1:3130 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3117
Practice Address - Country:US
Practice Address - Phone:773-989-8791
Practice Address - Fax:773-728-8719
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist