Individual
JULIE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1241 PT MALLARD PKWY STE 201, DECATUR, AL 35601-6555
(256) 350-9750
(256) 350-9751
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7303
AL
Other
Enumeration date
02/06/2015
Last updated
06/17/2020
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