Healthcare Provider Details

I. General information

NPI: 1184258196
Provider Name (Legal Business Name): KARE PELVIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 MAIN ST
CHARDON OH
44024-1252
US

IV. Provider business mailing address

2053 MECHANICSVILLE RD
ROCK CREEK OH
44084-9508
US

V. Phone/Fax

Practice location:
  • Phone: 440-256-6268
  • Fax:
Mailing address:
  • Phone: 330-636-6333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARI CRAIG
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 330-636-6333