Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Core Revive Physical Therapy and Wellness (Is the Dba, Jackie Kickish Llc)

Organization Physical Therapist · NPI 1245100627

Core Revive Physical Therapy and Wellness (Is the Dba, Jackie Kickish Llc) provides Physical Therapist services in Mason, Ohio. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

6577 Herron Ct
Mason, OH 45040-9392
Phone: (513) 917-9418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1245100627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Kickish — Physical Therapist · (513) 917-9418
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address6577 Herron Ct Apt Suite, Mason, OH 45040-9392

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