Individual
DR. TRAVIS WILLIAM LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1136 W DIVIDE AVE, BISMARCK, ND 58501-1202
(701) 223-8237
(701) 223-8257
Mailing address
1307 CANYON CIR, BISMARCK, ND 58503-0100
(701) 255-4076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
787
ND
Other
Enumeration date
02/20/2007
Last updated
10/24/2007
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