Alivia Church

NPI #1366010241 in Humboldt, Tennessee

Provider Information

NPI Number: 1366010241
Entity Type: Individual
Name: Alivia Church
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 16, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 3525 CHERE CAROL RD
City: Humboldt
State: Tennessee
ZIP Code: 38343-3636
Phone: (731) 824-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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