MICHELE SHIVACK, PT,ATC
Physical Therapist - Orthopedic
Active
Individual
NPI: 1184962128
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist - Sports | 2251S0007X | No | 4108 (OR) |
| Physical Therapist - Orthopedic | 2251X0800X | Yes | 04108 (OR) |
Frequently Asked Questions
NPI 1184962128 is the National Provider Identifier for MICHELE SHIVACK, PT,ATC, a Physical Therapist - Orthopedic provider located in Portland, OR. This NPI was enumerated on January 25, 2013.
MICHELE SHIVACK, PT,ATC practices at 11782 SW BARNES RD, SUITE 300, Portland, OR 97225.
Quick Facts
- NPI
- 1184962128
- Type
- Individual
- Enumerated
- Jan 25, 2013
- Last Updated
- Sep 13, 2013
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