Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Kidwell

Individual provider Physical Therapist · NPI 1659504868

Jack Kidwell is a Physical Therapist in Middleburg Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone: (216) 926-0699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT9064 (OH)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT9064 (OH)

Record details

NPI number1659504868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2009
Last updated in NPPESApril 14, 2016

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