Individual
DR. KACIE MICHELLE SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ACSM-EP
Contact information
Practice address
5020 W CLEARWATER AVE, KENNEWICK, WA 99336-1951
(509) 934-3309
(509) 236-8095
Mailing address
705 S TEXAS ST, KENNEWICK, WA 99336-4085
(509) 947-8600
(509) 236-8095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60723995
WA
Other
Enumeration date
04/15/2020
Last updated
01/07/2025
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