Individual
SAVANNAH NICOLE LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5048 LAKE FOREST DR, KINGSPORT, TN 37663-3714
(423) 676-9400
Mailing address
5048 LAKE FOREST DR, KINGSPORT, TN 37663-3714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6220
TN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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