Individual
ALEXIS SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27500 LAHSER RD, SOUTHFIELD, MI 48034
(248) 415-2500
Mailing address
27500 LAHSER RD, SOUTHFIELD, MI 48034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005527
MI
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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