Individual
MEGAN LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1900 GRAYBAR LN, NASHVILLE, TN 37215-2110
(615) 690-3091
Mailing address
1900 GRAYBAR LN, NASHVILLE, TN 37215-2110
(615) 690-3091
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12438
TN
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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