Provider Demographics
NPI:1376038802
Name:JONES, KASEY ANN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KASEY
Middle Name:ANN
Last Name:JONES
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 1:476 HOUSEL CRAFT RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44402-9722
Mailing Address - Country:US
Mailing Address - Phone:330-442-3505
Mailing Address - Fax:
Practice Address - Street 1:7575 NORTHCLIFF AVE STE 300
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3265
Practice Address - Country:US
Practice Address - Phone:216-398-8459
Practice Address - Fax:216-398-8475
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60837942225100000X
OHPT019143225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist