| Doctor Name: | KEVIN SCOTT DUSENBURY |
| NPI Number: | 1295841716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.P.T. |
| License Number: | 011085 |
| Business Practice Address: | 4365 Liberty Ave Vermilion, OH - 440892133 |
| Business Phone Number: | 4409674226 |
| Business Fax Number: | 4409678715 |
| Mailing Address: | 1319 Crossings Pkwy, WESTLAKE |
| State: | OH |
| Postal Code: | 441456201 |
| Phone Number: | 2162788185 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 011085 |
| 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 |