Search › Washington › 225200000X
Misty Lively, PTA
NPI 1689816514 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1040 Sw Kimball Dr
Oak Harbor, WA 98277 - Phone
- (360) 675-8405
- Organisation at this address
- Careerstaff
Oak Harbor Retirement Community LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington