Kevin Wilson

NPI 1104890128 · on the registry since 2006

Practice

Address: 2835 Miami Village Dr
Miamisburg, OH 45342
Phone: (937) 449-0796
Fax: (937) 262-7468
Organisation at this address: The Therapy Source, Inc.
Beacon Orthopaedics & Sports Medicine, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio