Individual
COLLEEN KIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 LARKSPUR LOOP, SAINT JOHNS, FL 32259-4304
(785) 766-5283
Mailing address
1015 LARKSPUR LOOP, SAINT JOHNS, FL 32259-4304
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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