Provider Demographics
NPI:1811440332
Name:KEMPTON, KELSEY (PT DPT)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:KEMPTON
Suffix:
Gender:F
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 1:6001 COCHRAN RD
Mailing Address - Street 2:UNIT 202
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3310
Mailing Address - Country:US
Mailing Address - Phone:440-498-9723
Mailing Address - Fax:
Practice Address - Street 1:6001 COCHRAN RD
Practice Address - Street 2:UNIT 202
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3310
Practice Address - Country:US
Practice Address - Phone:440-498-9723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH016537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist