Kendall Andy Rives, PT

NPI #1164121752 in Madison, Mississippi

Provider Information

NPI Number: 1164121752
Entity Type: Individual
Name: Kendall Andy Rives, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 2, 2023
Last Updated: Mar 2, 2023

Practice Location

Address: 7521 OLD CANTON RD
City: Madison
State: Mississippi
ZIP Code: 39110-8669
Phone: (601) 856-8041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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