Individual
THERON ROSS LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
27 S PLEASANTBURG DR STE 130, GREENVILLE, SC 29607-2577
(864) 235-0704
(803) 235-0706
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9653
SC
Other
Enumeration date
04/22/2019
Last updated
05/24/2019
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