NPI 1023119161

Mark Allen Livingston, PT

Practitioner Physical Therapist Brandon, MS

Practice location

Address: 1220 N Shore Pkwy Suite B, Brandon, MS 39047-6383
Phone: (601) 829-0505
Fax: (601) 829-0506
Mailing address: 2416 Highway 45 N, Columbus, MS 39705-1320

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT1692 (MS)

Other Physical Therapist providers in Mississippi →

Registry record

NPI: 1023119161
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 1 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.