Doctor Name: | MR. RYAN WILLIAMS LIVESAY |
NPI Number: | 1609191287 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PTA |
License Number: | 9191 |
Business Practice Address: | 1405 N Mount Auburn Rd Cape Girardeau, MO - 637012171 |
Business Phone Number: | 5733357868 |
Business Fax Number: | 5733358193 |
Mailing Address: | 1405 N Mount Auburn Rd, CAPE GIRARDEAU |
State: | MO |
Postal Code: | 637012171 |
Phone Number: | 5733357868 |
Fax Number: | 5733358193 |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 04/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9191 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |