Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Core Revive Physical Therapy and Wellness (Is the Dba, Jackie Kickish Llc)

Organization Physical Therapist · NPI 1245100627

Core Revive Physical Therapy and Wellness (Is the Dba, Jackie Kickish Llc) is a Physical Therapist in Mason, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6577 Herron Ct
Mason, OH 45040-9392
Phone: (513) 917-9418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1245100627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Kickish — Physical Therapist · (513) 917-9418
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address6577 Herron Ct Apt Suite, Mason, OH 45040-9392

Other providers in Mason