Individual
MRS. KRISTEN SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
209 B RIVERWIND EAST, PEARL, MS 39208
(601) 383-1247
(601) 510-9500
Mailing address
209 RIVERWIND EAST, SUITE B, PEARL, MS 39208
(601) 278-7036
(601) 510-9500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5078
MS
Other
Enumeration date
02/05/2016
Last updated
02/17/2016
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