Individual
KEVIN STRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8805 N MAIN ST STE 110, DAYTON, OH 45415-1333
(937) 204-1877
(937) 204-1878
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT-006869
OH
225100000X
Physical Therapist
Primary
PT006869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383462
PROVIDER NUMBER
OH
05
—
2611490
—
OH
01
—
5674502
FIRST HEALTH/CCN PROVIDER
OH
Enumeration date
04/25/2006
Last updated
07/08/2021
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