# HARRY T MATHIVHA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIV FITNESS CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588765929
- **Authorized official:** MR. HARRY TSHIFHIWA MATHIVHA OTR/L (OWNER)
- **Authorized official phone:** (740) 962-2152

## Contact information

- **Practice address:** 985 E MARIETTA RD, MCCONNELSVILLE, OH 43756-9768
- **Practice address phone:** (740) 962-2152
- **Mailing address:** 103 ARBORGATE DR, MARIETTA, OH 45750-9224
- **Mailing address phone:** (740) 962-2152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | OT.003354 | OH | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 06/17/2008