Individual
DENNIS SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3905 LORRAINE PATH, SAINT JOSEPH, MI 49085-8630
(269) 428-1111
Mailing address
209 D ST, LA PORTE, IN 46350-4933
(219) 379-7365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001518
MI
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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