Organization
LIVELY THERAPY SERVICES
Active
Organization
LIVELY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PRISCILLA BUCKLAND OTR/L (OWNER)
(704) 960-9619
Entity
Organization
Contact information
Practice address
1401 S RIDGE AVE, KANNAPOLIS, NC 28083-6056
(980) 242-0690
Mailing address
PO BOX 248, KANNAPOLIS, NC 28082-0248
(980) 242-0690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13680
—
NC
Enumeration date
02/22/2021
Last updated
11/04/2025
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