Individual
BRENDEN LIVINGHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 WISSAHICKON AVE, APT M511C, PHILADELPHIA, PA 19144
(484) 577-7946
Mailing address
5500 WISSAHICKON AVE, APT M511C, PHILADELPHIA, PA 19144
(484) 577-7946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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