Doctor Name: | KIMBERLY M SPIVEY |
NPI Number: | 1497711014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 1318 |
Business Practice Address: | 2801 S Olive St Suite 9d Pine Bluff, AR - 716035439 |
Business Phone Number: | 8705410003 |
Business Fax Number: | 8705410008 |
Mailing Address: | 6601 Farm Ln, PINE BLUFF |
State: | AR |
Postal Code: | 716031313 |
Phone Number: | 8708799245 |
Fax Number: | 8705410008 |
NPI Enumeration Date: | 04/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 1318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |