MRS. Misty Ann Lively, PTA
NPI #1689816514 in Oak Harbor, Washington
Provider Information
- NPI Number
- 1689816514
- Entity Type
- Individual
- Name
- MRS. Misty Ann Lively, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 24, 2009
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 1040 SW KIMBALL DR
- City
- Oak Harbor
- State
- Washington
- ZIP Code
- 98277-7593
- Phone
- (360) 675-8405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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