Doctor Name: | MICHAEL ADAM LIVENGOOD |
NPI Number: | 1003896879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | 8724 |
Business Practice Address: | 232 Smith Chapel Rd Mount Olive, NC - 283651917 |
Business Phone Number: | 9196354500 |
Business Fax Number: | 9196354999 |
Mailing Address: | 232 Smith Chapel Rd, MOUNT OLIVE |
State: | NC |
Postal Code: | 283651917 |
Phone Number: | 9196354500 |
Fax Number: | 9196354999 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |