Individual
KAITLYN LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1011 JEFFORDS ST BLDG B, CLEARWATER, FL 33756-4070
(727) 446-5993
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31106
FL
Other
Enumeration date
10/27/2021
Last updated
05/28/2025
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