Individual
NICK J LIVASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4020 BUTLER HILL RD, SAINT LOUIS, MO 63129-1500
(314) 487-6644
Mailing address
14515 N OUTER 40 RD STE 110, CHESTERFIELD, MO 63017-5746
(131) 443-4868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018039727
MO
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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