Individual
MS. KIRSTIE LEA SHIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
301 E BROADWAY ST, ALTUS, OK 73521-5507
(580) 477-3305
(580) 477-2423
Mailing address
825 N BROADWAY AVE, SUITE 400, OKLAHOMA CITY, OK 73102-6039
(405) 609-3670
(405) 605-8638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2808
OK
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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