Individual
ABIGAIL DIANE LIVESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3145 E MULLAN AVE STE 500, POST FALLS, ID 83854-8901
(208) 981-0129
(888) 443-4939
Mailing address
1120 E 4TH AVE APT 206, POST FALLS, ID 83854-4015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5143
ID
Other
Enumeration date
08/21/2023
Last updated
12/12/2023
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