DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATHEW LIVERMORE, PT

Active Sole Proprietor

MATHEW LIVERMORE, PT is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1285209676 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POCATELLO, ID

Registration Details

NPI Number
1285209676
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2021 (5.1753140914209 yrs)
Last Updated
Aug 5, 2024
License
PT-7242 (ID)
Sole Proprietor
Yes

Practice Information

Address
1800 GARRETT WAY
STE 19
POCATELLO, ID, 832015132
Browse ID providers · Browse ZIP 83201
Phone
2089044469
Fax
2089044803
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in POCATELLO, ID

Name Credential NPI
RICHARD W LEMON M.P.T. 1487646733
MRS. KIMBERLY W SCHWARZE RPT 1972566354
MRS. JONI D VAUGHN POWELL RPT 1962465344
MR. MICHAEL E OTTO RPT 1558324590
DR. COREY LAYNE RASMUSSEN DPT 1578665329
C RIC BENEDETTI DPT 1427147784
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.