Provider Demographics
NPI:1174758528
Name:LIVINGSTON, JAMIE (MS, ATC, OTC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:MS, ATC, OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-0519
Mailing Address - Country:US
Mailing Address - Phone:970-409-9713
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DR
Practice Address - Street 2:SUITE 180
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-0519
Practice Address - Country:US
Practice Address - Phone:970-409-9713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer