Individual
MARY E. MCGAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, MS, PT, ATC
Contact information
Practice address
2201 LAKE SHORE DRIVE EAST, ASHLAND, WI 54806-2331
(715) 685-6600
(715) 685-6601
Mailing address
2201 LAKE SHORE DRIVE EAST, ASHLAND, WI 54806-2331
(715) 685-6600
(715) 685-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501017438
MI
225100000X
Physical Therapist
7067
MN
225100000X
Physical Therapist
Primary
9955-24
WI
2255A2300X
Athletic Trainer
2085
MN
2255A2300X
Athletic Trainer
969-39
WI
Other
Enumeration date
11/01/2011
Last updated
03/21/2018
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