Individual
KATE SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 AZALEA RD STE 11, BAXLEY, GA 31513-9197
(912) 705-2855
Mailing address
118 AZALEA RD STE 11, BAXLEY, GA 31513-9197
(912) 705-2855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12030
GA
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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