NPI 1003378753

Alexis Shivers

Practitioner Physical Therapy Assistant Southfield, MI

Practice location

Address: 27500 Lahser Rd, Southfield, MI 48034
Phone: (248) 415-2500

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502005527 (MI)

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Registry record

NPI: 1003378753
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2019
Record last updated: 2 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.