NPI 1245100627

Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)

Organisation Physical Therapist Mason, OH

Practice location

Address: 6577 Herron CT, Mason, OH 45040-9392
Phone: (513) 917-9418
Mailing address: 6577 Herron CT APT Suite, Mason, OH 45040-9392

Authorised official

Name: Jackie Marie Kickish
Title: Physical Therapist
Phone: (513) 917-9418

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Ohio →

Registry record

NPI: 1245100627
Entity type: Organization
NPI issued: 10 Nov 2025
Record last updated: 10 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.