Most Relevant Information
Provider Data
| NPI Number: | 1003378753 |
| Provider Name: | ALEXIS SHIVERS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 5502005527 |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 04/02/2019 |
Provider Practice Location
27500 LAHSER RD
SOUTHFIELD
MI
48034
Practice Location Phone/Fax
| Phone: | 2484152500 |
| Fax: |
Provider Mailing Location
27500 LAHSER RD
SOUTHFIELD
MI
48034
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |