Doctor Name: | MICHELE LIVENGOOD |
NPI Number: | 1104995083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 101394 |
Business Practice Address: | 9411 N Oak Trfy Ste 200 Kansas City, MO - 641552262 |
Business Phone Number: | 8164366383 |
Business Fax Number: | |
Mailing Address: | 18700 New Market Rd, DEARBORN |
State: | MO |
Postal Code: | 644399098 |
Phone Number: | 8169923581 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 101394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |