Individual
KENDALL ANDY RIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7521 OLD CANTON RD, MADISON, MS 39110-8669
(601) 856-8041
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8238
(228) 875-5447
(866) 404-9501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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