Individual
DR. RICHARD SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4045 E BELL RD, PHOENIX, AZ 85032-2236
(602) 992-8352
(602) 992-5557
Mailing address
4045 E BELL RD, PHOENIX, AZ 85032-2236
(602) 992-8352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11758
AZ
Other
Enumeration date
08/12/2015
Last updated
09/05/2015
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