Individual
JEREMY DAVID LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, BOCP
Contact information
Practice address
720 LINDSAY LN, CODY, WY 82414-4142
(307) 250-2443
(307) 578-8820
Mailing address
720 LINDSAY LN, CODY, WY 82414-4142
(307) 250-2443
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
11/05/2008
Last updated
11/03/2018
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