Individual
STACY MICHELLE LIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
315 COUNTRY CLUB RD, CORYDON, IN 47112-1751
(812) 738-2190
Mailing address
3020 HIGHWAY 376, WEBSTER, KY 40176-7463
(270) 496-4670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31004864A
IN
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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