| Doctor Name: | JARED KINNEY |
| NPI Number: | 1932331493 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT013208 |
| Business Practice Address: | 6654 Lewis Ave Temperance, MI - 481821201 |
| Business Phone Number: | 7348471295 |
| Business Fax Number: | 7348471296 |
| Mailing Address: | 625 Enterprise Dr, OAK BROOK |
| State: | IL |
| Postal Code: | 605238813 |
| Phone Number: | 6305751932 |
| Fax Number: | 6309285032 |
| NPI Enumeration Date: | 08/18/2009 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT013208 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |