National Provider Identifier

Eleesia Summer Livengood

Eleesia Summer Livengood is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Jamestown, NY and a listed phone number of (716) 661-1541.

NPI 1578093886Jamestown, NYOccupational Therapy Assistant

Profile Overview

NPI
1578093886
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
June 19, 2017
Last Updated
July 21, 2022

Practice Location

  • 75 Jones And Gifford Ave
  • Jamestown, NY 14701-2828

Phone: (716) 661-1541

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1578093886
Entity Type
Individual
Last Name
Livengood
First Name
Eleesia
Middle Name
Summer
Mailing Street Address
75 Jones And Gifford Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2828
Mailing Country
US
Mailing Phone
(716) 661-1541
Practice Street Address
75 Jones And Gifford Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2828
Practice Country
US
Practice Phone
(716) 661-1541
Enumeration Date
June 19, 2017
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)