Female

Lindsay W. Shivar DPT

Physical Therapist in Tallahassee, FL(View on Map)

Full Name

Lindsay W Shivar DPT

NPI Number

1871849158

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/24/2012

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Florida
Georgia

License Number

PT30231
PT010745

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 13269
1891 CAPITAL CIR NE

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32317-3269
32308-8407

Country

US
US

Telephone Number

(850) 877-8855
(850) 877-8855

Identifiers

Identifier

106822
015004200
PT30231

Identifier State

FL
FL
FL

Identifier Issuer

MEDICARE PTAN
Unknown
PT LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/02/2017

Provider Address

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