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

Individual provider Physical Therapy Assistant · NPI 1780836700

Glenn Eugene Kershaw Jr., PTA is a Physical Therapy Assistant in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

9002 Mentor Ave
Mentor, OH 44060-6302
Phone: (440) 266-1901
Fax: (440) 266-1902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 03121 (OH)

Record details

NPI number1780836700
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 22, 2008
Last updated in NPPESOctober 22, 2008

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