Individual
MRS. MINDY LEE LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16499 KINGSTON CT, TYLER, TX 75703-7333
(903) 570-6372
Mailing address
16499 KINGSTON CT, TYLER, TX 75703-7333
(903) 570-6372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2027563
TX
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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