Individual
DR. KELLY ANN POLIVKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
980 POPLAR AVE, MEMPHIS, TN 38105-4614
(901) 287-4300
Mailing address
364 TARAVIEW RD, COLLIERVILLE, TN 38017-1938
(630) 991-7061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15123
TN
Other
Enumeration date
08/15/2023
Last updated
01/30/2025
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