| Doctor Name: | MR. KEVIN L. OUTWATER |
| NPI Number: | 1114922556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, ATC |
| License Number: | PT-04320 |
| Business Practice Address: | 2660 W Market St Ste 300 Fairlawn, OH - 443334202 |
| Business Phone Number: | 3308692635 |
| Business Fax Number: | 3308698315 |
| Mailing Address: | 2660 W Market St, Ste 300 FAIRLAWN |
| State: | OH |
| Postal Code: | 443334206 |
| Phone Number: | 3308692635 |
| Fax Number: | 3308698315 |
| NPI Enumeration Date: | 06/14/2005 |
| NPI Last Update Date: | 10/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-04320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |