Lively, Misty Ann

Lively, Misty Ann is an sole proprietor health care provider with primary practice located at 1040 Sw Kimball Dr , Oak Harbor WA 98277-7593. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Lively, Misty Ann can be contacted via phone (360) 675-8405.

Contact Information

Primary practice address
1040 Sw Kimball Dr Oak Harbor WA 98277-7593
Phone: (360) 675-8405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P1 60059910 Washington

Profile Details

NPI number 1689816514
LBN Legal business name Lively, Misty Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2009
Last updated Sep 26th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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