Provider Demographics
NPI:1215676788
Name:KESSLER, DAVID M (PT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:KESSLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 WHISPERING PINES DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-9378
Mailing Address - Country:US
Mailing Address - Phone:513-277-9959
Mailing Address - Fax:
Practice Address - Street 1:1418 WHISPERING PINES DR
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-9378
Practice Address - Country:US
Practice Address - Phone:513-277-9959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist