Provider Demographics
NPI:1861102568
Name:FEER, KAHLER MICHAEL (PT, DPT)
Entity type:Individual
Prefix:
First Name:KAHLER
Middle Name:MICHAEL
Last Name:FEER
Suffix:
Gender:M
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 1:6433 SUNSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-4018
Mailing Address - Country:US
Mailing Address - Phone:909-472-9966
Mailing Address - Fax:
Practice Address - Street 1:1950 S SUNWEST LN STE 108
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3263
Practice Address - Country:US
Practice Address - Phone:909-521-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist