SHANNON ELIZABETH MCKIVITZ

MESA, AZ
NPI1821734179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  32343)
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
Mrs. SHANNON ELIZABETH MCKIVITZ DPT
2642 E FAIRFIELD ST
MESA, AZ 85213-5342
Phone number: 480-848-4281
Mailing Address
Mrs. SHANNON ELIZABETH MCKIVITZ DPT
PO BOX 267
QUEEN CREEK, AZ 85142-1805
Phone number: 480-848-4281